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Cross Coverage Representative in Los Angeles, CA at TeamHealth

Date Posted: 9/4/2019

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:

The Cross Coverage Universal Rep 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, Overprovisions, Eligibility, 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 will be required to report to department management as assigned and will be housed within the parameters of front/back end delineations to fill in primarily (but not exclusively) for those departments. When assigned to a department, the individual reports to and takes direction from the Supervisor/Manager of that area.

 

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.
  • 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 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.
  • Process Level A Refunds
  • Review and process Eligibility Reports & GERD Files
  • 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

QUALIFICATIONS / EXPERIENCE:

  • 45 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.
  • Minimum high school diploma, or equivalent. Additional training in medical billing and cash applications.
  • Three years medical billing experience with Registration and Charge Entry, as well as Patient Accounts. A/R is preferred.
  • Training classes and seminar attendance may require local travel.
  • Overtime may be required and can be mandated by Management.

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.

 

  • Job is performed in a well-lighted, climate controlled modern office setting.
  • Prolonged sitting at a workstation using a computer.
  • Moderate phone use.
  • Moderate bending and standing.
  • Moderate stress level.
  • Occasional lifting and carrying of up to 25 pounds.

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.

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