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Front-End Cross Coverage Representative in Los Angeles, California at TeamHealth

Date Posted: 7/8/2019

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 Representative is as an assigned floating representative for the Front-End Patient Registration and Clerical Support departments and assists in data compiling for production management reporting.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Enter and/or update patient demographic data and insurance information in GE/IDX.
  • Analyze registration, patient statement and claim error/edit messages, identify probable causes or trends, and make necessary corrections or recommendations as required.
  • Assist in the process of medical chart registration and payment documentation (EOBs or Remittance Advises) onsite and offsite retrieval.
  • Assist in the preparation of filing and mailing insurance claim forms to appropriate carriers.
  • Create and manage queries from GE/IDX and DMS.
  • Create and document processes and procedures for Front-End departments.
  • Review and update Front-End department policies.
  • Assist in research, obtaining and responding to medical record audit requests (internal and external). Document in Audit Tracking System. Overall maintenance of the BC audit library.
  • Work in OnBase as required (workflow and reporting).
  • Analyze and troubleshoot OnBase chart flow issues for Front-End departments using critical thinking and problem solving skills
  • Represent department in testing and training for GE/IDX, OnBase, and VBX electronic demographic registration as needed.
  • Assist department representatives with questions, problems and or workflow.
  • Work with Front-End production departments.
  • Contact insurance carriers regarding claim mailing requirements and authorizations.
  • Collaboratively works with department management and employees to research, diagnose, and develop recommendations to resolve organizational problems and enhance current and anticipated work processes as needed.
  • Evaluate and coordinate production workloads.
  • Compiles data from various sources; cleans and formats data into meaningful reports; updates and distributes reports as needed.
  • Analyzes various reports and performance measures looking for trends and outliers.
  • Correct ETM invoices and post appropriate action in the Enterprise Task Manager system (ETM).
  • Complies with all department and company policies and procedures.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Report problems and issues to assigned department Senior, Supervisor or Front-End Production Manager.
  • Assist with special projects.
  • Other duties as assigned.
  • Good oral and written communication skills.
  • Computer literate.
  • Able to work in fast paced environment.
  • Able to multi task.
  • Good organizational skills.
  • Good analytical, problem-solving skills.
  • Knowledge of GE/IDX, OnBase, VBX, DMS, and MRTS systems preferred.
  • General knowledge of query functionality preferred.
  • Able to perform duties independently without direct supervision.
  • Detail-Oriented
  • Knowledge of Microsoft Office (Excel)
  • Good Written and Verbal Skills

PHYSICAL / ENVIRONMENTAL DEMANDS:

  • Set in a pleasant, high-volume, fast-paced office environment.
  • Ability to meet closing deadlines, and production standards is required.
  • Also, may require physical and/or mental stamina to work additional hours beyond a regular schedule and/or more than five days per week.
  • Significant workload that may require after hours work and/or additional hours be mandated by Management.
  • Regular and reliable attendance is necessary.
  • Prolonged work on a PC/computer.
  • Physical requirements include but are not limited to sitting for extended periods of time, walking, and bending.
  • Periodic travel may be required to for meetings and trainings.
  • 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.

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.