POSITION SUMMARY:
If all goes well, after 90 days there is the possibility of conversion.
All patient-specific eligibility verifications with payers claim submissions/ investigations, product grid, current patient status analysis, and various reporting functions management. The candidate must ensure strong organization and strict adherence to guidelines and regulatory requirements. The current role is a pivotal contributor to modifications to internal/external department protocols and SOP for current processes to expand upon additional product lines of payer submissions. Establish priorities and the ability to multi-task accordingly. Confer with Management to determine work progress and provide information on changes.
PRIMARY RESPONSIBILITIES:
- Must have a clear understanding of the insurance billing process including EOB, Deductable, Coinsurance and Copay
- Must maintain a current status on Natera training requirements.
- Experience with medical billing and coding, preferably in a skilled nursing environment
- Excellent customer service skills and phone manner
- Ability to manage stress in a fast-paced environment
- Strong knowledge of Medicare and Medicaid practices
- Minimum of two years of call center experience in inbound and outbound capacity.
- Minimum two years of Salesforce experience
KNOWLEDGE, SKILLS, AND ABILITIES:
- Outgoing personality with excellent oral & presentation skills.
- Ability to think strategically and execute tactically.
- Emphasis on competitive analysis and team-first attitude.
- Ability to relate and educate our billing offerings to potential patients and internal agents.
- Strong quantitative and MS Excel skills
- Self-motivation, with the desire and capacity to work both independently and collaboratively.
- Must act with a sense of urgency.
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Excellent organizational and communication skills (written and verbal)
PHYSICAL DEMANDS & WORK ENVIRONMENT:
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Duties are typically performed in an office setting; however, working from home is an option.
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This position requires using a computer keyboard, communicating over the telephone, and reading printed material.
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Duties may sometimes require working outside regular working hours (evenings and weekends).
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Duties require the ability to converse with patients on the phone for a minimum of 4 hours/day.
