Vacancy expired!
A Customer Service Representative Admins primary responsibilities will be conducting follow-up regarding outstanding documents such as Itemized Bills (IZs), or any other documentation required to provide a complete referral for processing. Additionally, the Limousine South Admin will also assist with Limousine South team duties to include but is not limited to: Facility packets, Triage Forms, Ocular Character Recognition (OCR), referral processing, medical records sorting and processing, to make ready for Forensic Review.
Department Administration
Contact facilities to obtain information needed to process claims; escalate to supervisor and account management when appropriate
Review and categorize incoming medical records according to defined process including saving to appropriate folders within client folder, sorting/scanning/OCR as needed and maintain the Medical Records storage closet
Using the appropriate templates, create client specific letters and other communications (Acknowledgment Letters, Records requests, etc.)
Develop and maintain tracking mechanism for itemized bill requests and facility organization
Review incoming communications, including fax and e-mail, directing communications to appropriate personnel and entering them in the HANDS system
Review and process incoming claim referrals. Ensure completeness and legibility of documents, coordinating with customer service and/or facilities to obtain additional information as needed
Document all pertinent communications for all claims in HANDS system according to company standards
Assign claims to data entry vendors
Process Itemized Bills (IZ) through the OCR software
Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work
Participate in department and company meetings as requested
Complete special projects and other duties as assigned
Job Requirements:
Education and Certifications
High School diploma or GED degree required, some college preferred
Experience
2+ years of administrative experience
Familiarity with medical terminology, coding and UB-04 claims forms helpful
Experience within the healthcare, hospital or insurance markets preferred
Customer service experience preferred
Familiar and comfortable with productivity and quality tracking environment
Skills
Basic computer skills, including Word, Excel and data entry
Very strong attention to detail applied to assigned tasks
Strong organizational skills
Self-Starter, ability to multi-task and work with little direction
Must have excellent written and verbal communication skills
Ability to prioritize competing tasks in a fast paced environment
Ability to apply critical thinking skills and problem solving required
Team player demonstrating passion and enthusiasm for company vision and mission
Vacancy expired!