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Job Requirements of Cross Coverage Representative:
QUALIFICATIONS / EXPERIENCE:
- High school diploma or equivalent required
- Minimum one year previous medical billing experience required
- Demonstrated knowledge of physician billing including health care reimbursement guidelines especially Medicare and Medicaid
- Knowledge of appeals and review policies for state and government plans
- Good oral and written communication
- Excellent organizational and follow-up skills
- Proficient in Microsoft Word, Excel, and Outlook
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Cross Coverage Representative
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 as needed to Patient Accounts, Payment Processing and Overprovisions. The Cross Coverage Representative must possess a comprehensive knowledge and be able to perform duties related to all areas.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Processes credit balances for insurances and guarantors as mandated by internal and HCFS (healthcare financial services) policies
- Approves guarantor and insurance refunds
- Handles correspondence related to credit balances as well as telephone inquiries
- Processes transfer of payment and cancelled check research forms
- Researches unidentified logs and reports to determine appropriate application of payments identified
- Participates in unit progress meetings with staff regarding Overprovisions, Patient Accounts and Payment Processing
- Notifies manager of any unusual circumstances regarding Overprovisions, Patient Accounts and Payment Processing
- Downloads bank reports and completing other payment processing functions
- 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
- Reports any errors or problems that affected payments. Adjustments or rejections from being applied to the invoice(s) correctly
- Performs other duties and assignments as requested
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
- High school diploma or equivalent required
- Minimum one year previous medical billing experience required
- Demonstrated knowledge of physician billing including health care reimbursement guidelines especially Medicare and Medicaid
- Knowledge of appeals and review policies for state and government plans
- Good oral and written communication
- Excellent organizational and follow-up skills
- Proficient in Microsoft Word, Excel, and Outlook