Cross Coverage Representative, Medical Billing

TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. Newsweek Magazine recognizes TeamHealth as ‘one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us.

What we Offer:

• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
• 401K (Discretionary matching funds available)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

JOB DESCRIPTION OVERVIEW:

The Cross Coverage Representative is responsible for providing support to the Trainer in all aspects including: Patient Accounts, Overprovision and Accounts Receivable teams.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Processes ETM worklist when assistance is required in No Activity, Denials Resolution and Appeals.
• Reviews rejections to identify trends and carrier issues require reporting to management.
• Researches carrier issues to determine appropriate action
• Notifies Manager of any unusual circumstances regarding Overprovisions, Patient Accounts and Accounts Receivable.
• Processes credit balances for insurances and guarantors as mandated by internal and HCFS policies.
• Handles correspondence related to credit balances as well as telephone inquiries.
• Posts all group lockbox receipts and all rejections listed on payment remits in IDX as assigned.
• Maintains daily log of all posted batches via manual and/or generated ERA.
• Performs required action to assigned reports (Exceeds Transaction Limit, IMBS, Charge Corrections)
• Assists with training new hires, transfer employees and rehires.
• Assists trainer with implementation of system upgrades.
• Assists trainer with new hire orientation.
• Provides support with templates, system issues, or password resets.
• Performs other duties and assignments as requested.

QUALIFICATIONS / EXPERIENCE:

• High school diploma or equivalent required.
• Minimum two-year previous medical billing experience required.
• Excellent oral and written communication skills.
• Excellent presentation skills in classroom setting.
• Proficient in Microsoft Office.
• Excellent follow-up skills, attention to details, organizational skills, & problem solving.
• Ability to work independently and self-motivated.

SUPERVISORY RESPONSIBILITIES:

• None

PHYSICAL / ENVIRONMENTAL DEMANDS:

• Job performed in a well-lighted, modern office setting
• Occasional standing/bending
• Occasional lifting/carrying (20lbs or less)
• Moderate stress
• Prolonged sitting
• Prolonged work on a PC/computer
• Prolonged telephone work

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

Job Requirements: