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Job Requirements of Eligibility Representative:
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
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Eligibility Representative
TeamHealth
Louisville, TN (Remote)
Full-Time
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:
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 other duties and assignments as requested.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
SUPERVISORY RESPONSIBILITIES:
- 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
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