Specialist, SBO Resolutions
1 month ago
MedSrv
SBO Complaint Resolution Specialist Job Description
Job Title: SBO Complaint Resolution Specialist
Division: MedSrv
Reports to: Department Manager & Director
FLSA Status: Non-Exempt
Revised Date: February 2023
SUMMARY:
Communicates with patients/guarantors regarding any discrepancy, dispute, complaint, concern or contested matter by phone or email and attempts to fully resolve the patient’s complaint in a timely manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES.
Communicate with patients/guarantors by telephone/AdventHealth Everywhere portal and/or email to fully understand the patient’s dispute/complaint/discrepancy and fully resolve the matter to patient satisfaction and obtains any other needed documentation for the resolution of the account.
Records information fully in all systems in which the issue may involve.
Updates and verifies new insurance information if/when provided by patient or guarantor.
Review, research or communicate with Practice Management or Department Manager or floor supervisor as necessary regarding any questionable accounts or issues presented by patient / guarantor
Review, research and communicate account questions or issues to practice management if / when needed via work que. Communication must be accurate and provide necessary detail for management to review.
Must be polite, courteous and accommodating to ensure good customer service is provided
Must have the ability to concentrate for extended periods of time.
Must be willing to function and cooperate as member of a team.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
High school diploma or equivalent; or 1 year related experience and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
REASONING ABILITY
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Ability to learn and comprehend basic medical terminology and protocols in order to handle patient accounts.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. Specific vision abilities required by this job include ability to adjust focus.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
-
Conflict Resolution Specialist
1 week ago
Chattanooga, Tennessee, United States BlueCross BlueShield of Tennessee Full timePosition Overview:As a Conflict Resolution Specialist, you will undertake essential administrative and clerical responsibilities to support our legal team.Key Responsibilities:Manage and update databases containing legal documents and relevant information.Assist in legal activities, including research and drafting, under the guidance of attorneys.Provide...
-
Insurance Claims Resolution Specialist
7 days ago
Chattanooga, Tennessee, United States Insight Global Full timeJob Summary: Insight Global is seeking an Insurance Follow-up Representative to support a Health Care System in the United States.Key Responsibilities:Research and resolve unpaid accounts to ensure timely reimbursement.Follow up with insurance payers to resolve claims and address any discrepancies.Report and investigate trends in reimbursement and denials to...
-
Technical Support Specialist
4 days ago
Chattanooga, Tennessee, United States Mike Collins & Associates, Inc. Full timeJob SummaryMike Collins & Associates, Inc. is seeking a highly motivated and detail-oriented Technical Support Specialist to join our team. As a Technical Support Specialist, you will be the primary point of contact for customers seeking technical assistance and support.Key ResponsibilitiesProvide exceptional customer service and support via phone, email,...
-
HR Client Relations Specialist
2 weeks ago
Chattanooga, Tennessee, United States Beta-i • collaborative innovation Full timePosition Overview:The HR Client Relations Specialist (Labor Relations) plays a pivotal role in providing guidance and support to organizational leaders and managers on various HR-related topics. This position aligns closely with the needs articulated by HR business partners.Key Responsibilities:As an HR Client Relations Specialist, you will engage in the...
-
Client Billing Specialist
2 weeks ago
Chattanooga, Tennessee, United States North American Credit Services Full timeJob OverviewPosition: Client Billing SpecialistDepartment: Client/Research Billing DivisionReports To: Department SupervisorClassification: Non-ExemptAbout North American Credit Services: We are looking for a committed Client Billing Specialist to enhance our Client/Research Billing Division.Key Responsibilities:Engaging with clients to gather outstanding...
-
Field Technology Support Specialist
2 weeks ago
Chattanooga, Tennessee, United States McCoy Construction & Forestry Full timeField Technology Support SpecialistThe Field Technology Support Specialist plays a crucial role in ensuring the optimal performance and technical assistance for all SmartGrade™ and integrated grade control equipped machinery. This position necessitates a solid technical comprehension of the John Deere SmartGrade™ system, alongside site positioning...
-
Licensed Electrical Specialist
2 weeks ago
Chattanooga, Tennessee, United States Superior Contracting & Maintenance Full timeSuperior Contracting & Maintenance is seeking a skilled Electrical Specialist to enhance our operations. In this role, you will be instrumental in maintaining and optimizing the electrical systems within our residential properties, ensuring the utmost safety and security for all inhabitants.With over a decade of experience, our firm has been a trusted...
-
UPS Programmer Specialist ECM
4 days ago
Chattanooga, United States Abidi Solutions Full timeJob Title: UPS Programmer Specialist (ECM) (2 Openings) Location: Chattanooga TN (HYBRID) Rate: Open Longterm contract Bachelor degree in software engineering Automotive manufacturing experience Experiences with C Sharp or SIDIS Pro (note that it says C# OR SIDIS Pro) Responsible for the vehicle ECM programming and automated function check ...
-
Insurance Claims Resolution Specialist
2 weeks ago
Chattanooga, Tennessee, United States CommonSpirit Health Full timePosition Overview:CommonSpirit Health, a leading healthcare organization, is dedicated to providing exceptional care and services to our community. We are recognized for our commitment to excellence and are proud to be a trusted healthcare provider in the region.We offer a comprehensive benefits package designed to support you and your family,...
-
Leave Management Specialist
4 days ago
Chattanooga, Tennessee, United States Unum Group Full timeJob SummaryUnum Group is seeking a skilled Leave Management Specialist to join our team. As a Leave Management Specialist, you will be responsible for processing leaves, reviewing medical certifications, and managing relationships with employees and their employers.Key ResponsibilitiesLeave Processing: Process new leaves and follow up on assigned tasks in a...
-
Product Support Specialist
5 days ago
Chattanooga, Tennessee, United States ASTEC Full timeAbout the PositionWe are seeking a highly skilled and experienced Product Support Specialist to join our team at Astec. As a key member of our technical support team, you will be responsible for providing expert technical assistance and troubleshooting services to our customers.Key ResponsibilitiesDiagnostic Evaluations: Perform thorough diagnostic...
-
Connected Services Specialist
2 weeks ago
Chattanooga, Tennessee, United States Volkswagen Group of America Full timePrimary Location: United States-Tennessee-ChattanoogaOverview:Position Summary:This position is accountable for overseeing a connected infotainment service/function within North America. The role encompasses driving and facilitating the conception, development, and ongoing support of a connected infotainment product (such as remote services, multimedia,...
-
End-User Services Specialist
3 weeks ago
Chattanooga, United States SolutionIT Full timeJob DescriptionJob DescriptionSolution IT Inc. is looking for End-User Services Specialist for one of its clients in Chattanooga, TN (Onsite)Independent Candidates Only Job Title: End-User Services SpecialistSummaryProvides technical, operational and administrative support for IT-related End User provisioning and support...
-
Systems Implementation Specialist
1 week ago
Chattanooga, Tennessee, United States KellyMitchell Group Full timePosition Overview:KellyMitchell Group is in search of a Systems Implementation Specialist. The ideal candidate will be adept at engaging with various stakeholders, managing customer communications, and performing basic troubleshooting across multiple software applications.Key Responsibilities:Deliver primary support during system conversions to ensure that...
-
Service Equipment Specialist
2 weeks ago
Chattanooga, Tennessee, United States Heatec, Inc. Full timePOSITION OVERVIEW The role of a Service Equipment Specialist is vital to our operations. Heatec, Inc. provides equipment solutions globally, and our specialists are tasked with servicing clients within their designated regions while also traveling as needed to fulfill customer requirements. A Service Equipment Specialist conducts thorough diagnostic...
-
Client Support Specialist
1 week ago
Chattanooga, Tennessee, United States Infojini Full timeJob OverviewPosition Title: Client Support SpecialistWork Arrangement: Fully Remote with Initial Training OnsiteContract Duration: 3+ Months with Potential for ExtensionWorking Hours: Monday to Friday - 8:00 AM to 5:00 PMCompensation: $20.47 per hour on W2Additional Information:Candidates must attend a 2-week training session onsite. Local candidates are...
-
IT End-User Support Specialist
2 weeks ago
Chattanooga, Tennessee, United States SolutionIT Full timeJob OverviewSolution IT Inc. is seeking a qualified End-User Services Specialist to provide essential support for our client's IT operations.Position SummaryThe role involves delivering technical, operational, and administrative assistance for IT-related end-user provisioning and support devices.Key ResponsibilitiesPossess an Associate's degree in...
-
IT End-User Support Specialist
2 weeks ago
Chattanooga, Tennessee, United States SolutionIT Full timeJob OverviewSolution IT Inc. is seeking a skilled End-User Services Specialist to provide essential support for one of our esteemed clients.Position SummaryThe role involves delivering technical, operational, and administrative assistance for IT-related end-user provisioning and support devices.Key ResponsibilitiesPossess an Associate's degree in information...
-
IT Support Specialist in Sterling, Virginia
2 weeks ago
Chattanooga, Tennessee, United States Virtual Service Operations Full timePosition Overview:We are seeking a dedicated IT Support Specialist to join our team in Sterling, Virginia. This role is ideal for individuals eager to advance their careers in the IT sector.Role Responsibilities:As an IT Support Specialist, you will play a crucial role in maintaining our client's desktop environments. Your responsibilities will...
-
Transportation Planning Specialist
6 days ago
Chattanooga, Tennessee, United States Kenco Group Full timeAbout the PositionThe Transportation Planning Specialist is a key role within the Kenco Group, responsible for fostering relationships with external customers to ensure freight is transported per customer needs. This position is responsible for facilitating the daily operations with current shippers and carriers, routinely looking for ways to reduce the...