Intake Specialist

4 weeks ago

Jacksonville, United States TMF Health Quality Institute Full time
**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**

*This position is located in Jacksonville, FL and Remote Anywhere US*

*This position requires a credit check*

Position Purpose:

Performs routine accounting work. Provides lead work and subject matter expertise through technical support and one-on-one training. Computes, classifies, records and maintains numerical data in accordance with regulations, policies and procedures to keep financial records complete and provides general office duties. Ensures the completeness of the dispute before it goes to a Dispute Resolution Reviewer (DRR) decision-maker, including, but not limited to, confirming the administrative fee has been received and accepted, prior to passing the dispute to the DRR for resolution. Works under moderate supervision, with moderate latitude for the use of initiative and independent judgement.

Essential Responsibilities:

  • Serves as a lead staff member and subject matter expert for the Dispute Resolution Analysts and/or Clerks.
  • Reviews documentation and communicates with insurance carriers and providers as needed.
  • Reviews and analyzes medical billings for appropriate payment classifications.
  • Uses subject-matter knowledge and judgment related to pricing disputes to resolve processing issues.
  • Accesses electronic financial payment information to answer general questions as well as those related to specific accounts.
  • Assists with questions related to the contract or project. This may include, but is not limited to, corrections and detailed explanations as to how to properly comply with Centers for Medicare & Medicaid Services (CMS) guidelines.
Minimum Qualifications

Education
  • High School diploma or equivalent
Experience
  • Four (4) years general office experience
    • College education or technical training in administration, business, or related areas may be substituted for experience on a year per year basis. (Education requirements may be satisfied by full-time education or the prorated part-time equivalent.)
  • General accounting, preferred
  • Healthcare Industry, preferred
Benefits

C2C offers an excellent benefits package, including:
  • Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
  • Section 125 plan
  • 401K
  • Competitive salary
  • License/credentials reimbursement
  • Tuition Reimbursement


EOE Minorities/Females/Vet/Disability

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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