Current Statistics
1,539,741 Total Jobs 290,877 Jobs Today 17,531 Cities 222,693 Job Seekers 146,724 Resumes |
|
|
|
|
|
|
Document Management Specialist - Sartell Minnesota
Company: Meduit Location: Sartell, Minnesota
Posted On: 04/26/2024
WHAT WE DO: Meduit is seeking highly qualified candidates to join our Insurance Specialist teams as a Document Management Specialist. If you are goal driven, hard-working, and have excellent communication or customer service skills, we invite you to apply with us today! Document Management Specialists are responsible for hospital and physician billing follow up. The duties include working with payers and our Insurance Specialist Teams to resolve issues and facilitate prompt payment of claims. This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers Essential Duties and Accountabilities: - Reduce outstanding accounts receivable by managing claims inventory
- Coordinating with team members to confirm the appropriate documentation needed for submission for claims reconsideration and appeal requests.
- Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services
- Request, input, verify, and modify patient's demographic, primary care provider, and payor information
- Utilize tools, including computer programs, when indicated
- Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
- Input, retrieve, and modify information and data stored in computerized systems and programs; generate reports using computer software
- Work with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow
- Other duties as assigned Education/Experience/ Minimum Qualifications:
- HS. Diploma/GED
- Medical Billing/Follow-up experience
- Medicare, Medicaid, and commercial payor experience required
- Must be willing to submit for a background check
- May work occasional evenings and Saturdays
- Must have high integrity
- Have a positive attitude and demonstrate teamwork Competencies: To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions:
- Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria
- Excellent verbal and written communication and interpersonal skills
- Ability to work independently with minimal supervision, within a team setting and be supportive of team members
- Proficient with Microsoft Office
- Ability to analyze issues and make judgments about appropriate steps toward solutions
- Knowledge of patient billing claims process
- Familiarity with insurance explanations of benefits and denial codes
- Knowledge of payor programs
- Strong and professional telephone communication skills
- Experience with electronic health record or similar software program
- Knowledge of medical terminology and coding
- Knowledge of applicable federal and state regulations Special Position Requirements:
- Language Skills: Ability to read, analyze, and interpret information including training instructions and patient bills.
- Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Reasoning Ability: The person in this position frequently communicates with consumers who have inquiries about their bills. Must be able to exchange accurate information in these situations.
- Computer Skills: Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer. Work Requirements:
|
|
|
|
|
|
|