Worker's Compensation Representative
3 months ago
Job Type
Full-time
Description
Position Summary
The Workers Compensation Representative is responsible to review assigned follow up queues as assigned by supervisor, reading all notes in FACS and making appropriate decisions regarding the next step on the account according to CBS procedures. Determining if the account needs additional follow up or billing and making the determination if there is any additional documentation needed from the patient or the client.
Essential Duties of the Position
- Reconcile FACS to the client system
- Ensure proper credit is given to payments or adjustments that have been posted
- Handle all correspondence.
- Review correspondence, notate accounts, and follow up if needed.
- Verify correspondence is sent to be scanned on the accounts for future reference
- Tie or untie accounts as needed while working the accounts
- Attempt to resolve all patient concerns on every call
- Maintain quality customer service
- Retrieves, sustains and communicates all designated reports
- Develops and retains professional relationship with insurance representatives and if necessary attorney's offices
- Maintains confidentiality at all times (i.e., PHI HIPAA, and HITEC)
- Supports the mission and goals of the company
- Computer proficiency skills are required
- Ability to learn multiple databases
- Ability to multi-task (speaking on the phone and updating account information, demographics and notes)
Requirements of the Position
- Must be organized, detail oriented, and flexible.
- Must have the ability to perform repeated tasks with a high level of accuracy.
- Must have working knowledge of CBS policies and procedures.
- Must have working knowledge of HIPAA and Red Flag regulations.
- Must possess a thorough understanding of Complete Billing Services employee handbook as well as policies & procedures surrounding all related functions.
Difficulty of Work
The work can include some difficult aspects dealing with accounts, insurance representatives and in some cases the patients or RP on the account. Researching various documents and sites to confirm that the proper payment has been made on charges for services rendered that will vary based on state billed and the statute set by law.
Responsibility
The incumbent works in a team concept, but will need to be able to work accounts on his/her own. Accounts are randomly checked for training purposes. Errors may be caught, but not immediately. Work is somewhat independent in nature. The incumbent makes a substantial impact on the processing of the account based on actions completed.
Personal Work Relationships
Incumbent works with colleagues, attorneys, team leads, supervisors, legal department and management staff.
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