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Practice made perfect

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Eligibility Representative in ONSITE at TeamHealth

Date Posted: 3/10/2023

Job Snapshot

Job Description

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
  • Convenience market on site
  • 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
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

JOB DESCRIPTION OVERVIEW:

This position is responsible for the entry of patient demographics based off the Eligibility. This work is routine and repetitive. Must be able to work from various source documents, programs and websites.  Must be able to properly code patient accounts according to established policies and procedures.  Must be able to identify all FSC and D120’s according to insurance eligibility and or cards received when you run the Eligibility. Must be familiar with IDX, Insurance websites and Eligibility screens or feel comfortable enough to maneuver in them.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Enters and/or updates patient demographics according to established procedures.
  • Work/Complete all Invoices (Active & Rejected) in all GERDS
  • Work/ Complete all invoices received on the outsourced Vender reports as well as any special reports we may receive.
  • Identify the appropriate FSC and D120 for the insurance company you receive from the Eligibility in the Gerd or Report.
  • Research insurance on carrier websites with attention to detail.
  • Analyzes rejection code to identify probable causes, compare insurance information received per Eligibility to what we have in IDX to determine if insurance needs to be billed or has been billed and makes necessary corrections when required.
  • Notifies coordinator or manager of system malfunctions.
  • Notifies coordinator or manager of problems arising from erroneous items, codes, or missing information.
  • Performs any and all duties as assigned.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

 

  • High school diploma or equivalent required.
  • One year experience in charge entry and ten-key preferred.
  • Proficient in Microsoft Excel
  • Proficient typing skills (speed and accuracy)

 

SUPERVISORY RESPONSIBILITIES:

 

  • None

 

PHYSICAL / ENVIRONMENTAL DEMANDS:

 

  • Job performed in a well-lighted, modern office setting
  • Occasional standing/bending
  • 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, the information contained in this job description has been 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.