Cross Coverage Representative

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 Float is a position developed to support multiple skill level departments within the Billing Center. As such, the position requires someone who has a variety of physician billing skills including but not necessarily limited to Patient Registration and Charge Entry, Patient Accounts, Denials and Appeals, Patient Services, Overprovisions, Eligibility, and/or A/R Management. The individual needs to be able to perform multiple tasks in IDX, including invoice creation, patient registration, posting payments and rejections from all insurance carriers and patients, researching cancelled checks, filing secondary insurance, posting vouchers, researching accounts, authorizing refunds as appropriate, and communicating issues regarding accounts transferred to collection agencies, as well as handling some customer service calls, and processing daily mail.

The position will be required to report to department management as assigned and will be housed within the parameters of front/back-end delineations to fill in primarily (but not exclusively) for those departments. When assigned to a department, the individual reports to and takes direction from the Supervisor/Manager of that area.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Enters and/or updates patient demographics, and insurance information in the IDX system
• Identifies patient’s insurance and assigns, in priority order, the appropriate Financial Status Classification (FSC); inputs with knowledge data into the Insurance Management System
• Enters the ICD-9 and CPT-4 codes, rendering provider, referring, and assisting provider as designated by the Medical Coder
• Understands the concept of Batch Entry and is able to create batch and balance batch, if necessary
• Meets quality and productivity standards for assigned departments
• Posts payments and adjustments from commercial carriers, Medicare, Medicaid, Blue Shield, and remittance advices
• Researches cancelled checks to determine if a check has been endorsed and cashed but not posted to the patient’s account
• Communicates with insurance companies via phone or mail
• Files secondary insurance as indicated
• Handles customer service calls that are transferred from NPSC
• Processes daily mail per assigned group or as requested by senior or supervisor
• Posts voucher rejections from commercial carriers, Medicaid, Medicare, and Blue Shield
• Researches accounts when payment is inconsistent with the standard payment, or when clarification of payment is needed
• Able to work A/R as assigned, makes telephone inquiry to insurance company, researches status of claims and takes corrective action
• Processes adjustments and maintains all accounts on an active basis
• Prepares processing of patient refunds
• Inputs all zero payment vouchers and insurance rejections from all payer sources in a timely manner
• Understands IDX rejection systems; able to process rejections and work denials and appeals
• As a multi-task position, the individual performs other duties as assigned including projects, clerical tasks. The position could be assigned to work any representative position in the Billing Center with the exception of Medical Coder

Job Requirements: