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Job Requirements of Cross Coverage Representative:
ESSENTIAL DUTIES AND RESPONSIBILITIES: Enters and/or updates patient demographics and insurance information in the IDX system.
Identifies patient’s insurance and assigns, in priority order, the appropriate Financial Status Classification (FSC); inputs with knowledge data into the Insurance Management System.
Enters the ICD-9 and CPT-4 codes, rendering provider, referring, and assisting provider as designated by the Medical Coder.
Understands the concept of Batch Entry and is able to create batch and balance batch, if necessary.
Meets quality and productivity standards for assigned departments.
Posts payments and adjustments from patient statements, commercial carriers, Medicare, Medicaid, Blue Shield, and remittance advices.
Researches cancelled checks to determine if a check has been endorsed and cashed but not posted to the patient’s account.
Communicates with insurance companies via phone or mail.
Files secondary insurance as indicated.
Handles customer service calls that are transferred from NPSC.
Processes daily mail per assigned group or as requested by senior or supervisor.
Posts voucher rejections from commercial carriers, Medicaid, Medicare, and Blue Shield.
Researches accounts when payment is inconsistent with the standard payment, or when clarification of payment is needed.
Able to work Accounts Receivable as assigned, makes telephone inquiry to insurance company, researches status of claims and takes corrective action.
Processes adjustments and maintains all accounts on an active basis.
Prepares processing of patient refunds.
Inputs all zero payment vouchers and insurance rejections from all payer sources in a timely manner.
Complies with mandatory overtime requirements at the direction of assigned supervisor.
Understands IDX rejection systems; able to process rejections and work denials and appeals.
As a multi-task position, the individual performs other duties as assigned including projects, clerical tasks. The position could be assigned to work any representative position in the Billing Center with the exception of Medical Coder.
QUALIFICATIONS / EXPERIENCE:
- 55 WPM.
- Accurate 10-keystrokes, by touch.
- Detail-oriented able to work independently or as part of a team.
- Effective telephone communication skills.
- Computer literate.
- Able to work in fast paced environment.
- Good follow-up skills.
- Possess the ability to work within a timeframe to post insurance reimbursement, and zero payment correspondences.
- Previous knowledge of third party payer reimbursement, required.
- Knowledge of IDX-BAR system, preferred.
- Strong Knowledge of Accounts Receivable, required and preferred
- Knowledge of Charge Corrections, preferred
- Education
- Minimum high school diploma or equivalent. Additional training in medical billing and cash applications.
- Experience
- Three years medical billing experience with Registration and Charge Entry, as well as Patient Accounts. A/R is preferred.
TRAVEL:
- Training classes and seminar attendance may require local travel.SUPERVISORY RESPONSIBILITIES:
- None
-
PHYSICAL / ENVIRONMENTAL DEMANDS:
Set in a pleasant, high-volume, fast-paced office environment. Ability to meet closing deadlines and production standards is required. Involves extensive computer use.
Do you meet the requirements for this job?
Cross Coverage Representative
TeamHealth
Canoga Park, CA (Remote)
Full-Time
TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025 –Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!
What we Offer
What we Offer
- Career Growth Opportunities
- A Culture anchored in a strong sense of belonging
- Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
- 401k (Discretionary match)
- Generous PTO
- 8 Paid Holidays
- Equipment Provided for Remote Roles
JOB DESCRIPTION OVERVIEW:
The Universal Billing Representative is a position developed to support multiple skill level departments within the Billing Center. As such, the position requires someone who has a variety of physician billing skills including but not necessarily limited to Patient Registration and Charge Entry, Patient Accounts, Denials and Appeals, Patient Services, and/or A/R Management. The individual needs to be able to perform multiple tasks in IDX, including invoice creation, patient registration, posting payments and rejections from all insurance carriers and patients, researching, cancelled checks, filing secondary insurance, posting vouchers, researching accounts, authorizing refunds as appropriate, and communicating issues regarding accounts transferred to collection agencies, as well as handling some customer service calls, and processing daily mail.
The position is permanently assigned to the Vice President who will temporarily assign the individual to fill in for departments that require additional resources. When assigned to a department, the individual reports to and takes direction from the Supervisor/Manager of that area.
Job Requirements:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Enters and/or updates patient demographics and insurance information in the IDX system.
Identifies patient’s insurance and assigns, in priority order, the appropriate Financial Status Classification (FSC); inputs with knowledge data into the Insurance Management System.
Enters the ICD-9 and CPT-4 codes, rendering provider, referring, and assisting provider as designated by the Medical Coder.
Understands the concept of Batch Entry and is able to create batch and balance batch, if necessary.
Meets quality and productivity standards for assigned departments.
Posts payments and adjustments from patient statements, commercial carriers, Medicare, Medicaid, Blue Shield, and remittance advices.
Researches cancelled checks to determine if a check has been endorsed and cashed but not posted to the patient’s account.
Communicates with insurance companies via phone or mail.
Files secondary insurance as indicated.
Handles customer service calls that are transferred from NPSC.
Processes daily mail per assigned group or as requested by senior or supervisor.
Posts voucher rejections from commercial carriers, Medicaid, Medicare, and Blue Shield.
Researches accounts when payment is inconsistent with the standard payment, or when clarification of payment is needed.
Able to work Accounts Receivable as assigned, makes telephone inquiry to insurance company, researches status of claims and takes corrective action.
Processes adjustments and maintains all accounts on an active basis.
Prepares processing of patient refunds.
Inputs all zero payment vouchers and insurance rejections from all payer sources in a timely manner.
Complies with mandatory overtime requirements at the direction of assigned supervisor.
Understands IDX rejection systems; able to process rejections and work denials and appeals.
As a multi-task position, the individual performs other duties as assigned including projects, clerical tasks. The position could be assigned to work any representative position in the Billing Center with the exception of Medical Coder.
QUALIFICATIONS / EXPERIENCE:
Enters and/or updates patient demographics and insurance information in the IDX system.
Identifies patient’s insurance and assigns, in priority order, the appropriate Financial Status Classification (FSC); inputs with knowledge data into the Insurance Management System.
Enters the ICD-9 and CPT-4 codes, rendering provider, referring, and assisting provider as designated by the Medical Coder.
Understands the concept of Batch Entry and is able to create batch and balance batch, if necessary.
Meets quality and productivity standards for assigned departments.
Posts payments and adjustments from patient statements, commercial carriers, Medicare, Medicaid, Blue Shield, and remittance advices.
Researches cancelled checks to determine if a check has been endorsed and cashed but not posted to the patient’s account.
Communicates with insurance companies via phone or mail.
Files secondary insurance as indicated.
Handles customer service calls that are transferred from NPSC.
Processes daily mail per assigned group or as requested by senior or supervisor.
Posts voucher rejections from commercial carriers, Medicaid, Medicare, and Blue Shield.
Researches accounts when payment is inconsistent with the standard payment, or when clarification of payment is needed.
Able to work Accounts Receivable as assigned, makes telephone inquiry to insurance company, researches status of claims and takes corrective action.
Processes adjustments and maintains all accounts on an active basis.
Prepares processing of patient refunds.
Inputs all zero payment vouchers and insurance rejections from all payer sources in a timely manner.
Complies with mandatory overtime requirements at the direction of assigned supervisor.
Understands IDX rejection systems; able to process rejections and work denials and appeals.
As a multi-task position, the individual performs other duties as assigned including projects, clerical tasks. The position could be assigned to work any representative position in the Billing Center with the exception of Medical Coder.
QUALIFICATIONS / EXPERIENCE:
- 55 WPM.
- Accurate 10-keystrokes, by touch.
- Detail-oriented able to work independently or as part of a team.
- Effective telephone communication skills.
- Computer literate.
- Able to work in fast paced environment.
- Good follow-up skills.
- Possess the ability to work within a timeframe to post insurance reimbursement, and zero payment correspondences.
- Previous knowledge of third party payer reimbursement, required.
- Knowledge of IDX-BAR system, preferred.
- Strong Knowledge of Accounts Receivable, required and preferred
- Knowledge of Charge Corrections, preferred
- Education
- Minimum high school diploma or equivalent. Additional training in medical billing and cash applications.
- Experience
- Three years medical billing experience with Registration and Charge Entry, as well as Patient Accounts. A/R is preferred.
TRAVEL:
- Training classes and seminar attendance may require local travel.SUPERVISORY RESPONSIBILITIES:
- None
-
PHYSICAL / ENVIRONMENTAL DEMANDS:
Set in a pleasant, high-volume, fast-paced office environment. Ability to meet closing deadlines and production standards is required. Involves extensive computer use.
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