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Job Requirements of Cross Coverage Representative (Medical Billing) - 4644:
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.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, information contained in this job description was designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
ACKNOWLEDGEMENT
I have read and understand the essential duties of this position, and will direct any questions regarding the contents of this position description or the expectations of my duties to my Manager or Human Resources.
Do you meet the requirements for this job?
Cross Coverage Representative (Medical Billing) - 4644
TeamHealth is named among the “150 Great Places to Work in Healthcare” by Becker’s Hospital Review and has ranked three years running as “The World’s Most Admired Companies” by FORTUNE Magazine as well as one of America’s 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
- Career Growth Opportunities
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
- 401K program (Discretionary matching funds available)
- GENEROUS Personal time off
- Eight Paid Holidays per year
- Quarterly incentive plans
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.
Job Requirements:
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.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, information contained in this job description was designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
ACKNOWLEDGEMENT
I have read and understand the essential duties of this position, and will direct any questions regarding the contents of this position description or the expectations of my duties to my Manager or Human Resources.