Cross Coverage Representative

• 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 Anesthesia 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 assigned to the AR Manager 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Able to assist Patient Accounts, OP, REG, and Clerical Support departments if needed.
• Enters and/or updates patient demographics and insurance information in the IDX/ETM 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.
• 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 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.
• Processes daily mail per assigned group or as requested by senior or supervisor.
• Posts voucher rejections from all carriers.
• 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.
• 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 Manager.
• 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.

Job Requirements: