Cross Coverage Representative

2 weeks ago

Louisville TN, United States TeamHealth Full time

Join a team of dynamic, results oriented professionals

Named among "The World's Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among "Great Places to Work" by Becker's Hospital Review

  • 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)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Wellness programs
  • Flexible work schedule

JOB DESCRIPTION OVERVIEW:

The Cross Coverage Representative for Accounts Receivable is responsible for providing support as needed for No Activity, Denials Resolution and Appeals related to processing ETM worklist.

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.
  • Participates in unit progress meetings with staff regarding No Activity, Denials Resolution and Appeals.
  • Notifies AR manager of any unusual circumstances regarding Overprovisions, Patient Accounts and Payment Processing.
  • Performs other duties and assignments as requested by Accounts Receivable Manager.

QUALIFICATIONS / EXPERIENCE:

  • High school diploma or equivalent required.
  • Minimum one-year previous medical billing experience required.
  • Demonstrated knowledge of health care reimbursement guidelines, Medicare and Medicaid preferred.
  • Excellent oral and written communication skills.
  • Knowledge of appeals and review policies for state and government plans.
  • Demonstrated knowledge of physician billing.
  • Proficient in Microsoft Office.
  • Excellent follow-up skills.
  • Excellent organizational skills.

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, 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.

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