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Medical Billing/ Eligibility Representative in Fairlawn, Ohio, US at TeamHealth

Date Posted: 7/7/2019

Job Snapshot

Job Description


The Eligibility Representative is responsible for reviewing and processing the GERDs and vendor reports that are received on a daily basis.


  • Recognize potential problems including issues with not receiving GERDs or vendor reports, not receiving correct or accurate information. Problems identified must be brought to the attention of the Senior and Supervisor of Eligibility
  • Thorough knowledge of TeamHealth billing directives and process all claims according to these directives. The goal is to insure that the GERDs and vendor reports are correctly worked in a timely manner
  • To make sure that the Eligibility Analyst have all current and up to date job aids and policies. These are to be accessed on the AKBC “S” drive
  • Consistently meet established completion times for projects and assignments
  • Communicates with the Senior and Supervisor on the progress of projects, assignments, and progress toward completion on a timely basis
  • Communicates with team members, willing to help other team members at a moment’s notice to ensure GERDs and reports are worked in a timely manner
  • Consistently meet and maintain the QA and production standards.
  • Other duties as assigned by the Senior/Supervisor/Manager.



Job Requirements


  • High school diploma or equivalent.
  • Two to three years experience in physician medical billing.
  • Thorough knowledge of physician billing policies and procedures.
  • Computer literate.
  • Able to work in a fast-paced environment.
  • Good analytical skills.
  • Good organizational skills.
  • Able to analyze patient accounts to determine what action is required.
  • Typing skills of 8,000 KPH and 35 WPM with 95% accuracy


  • None


Set in a pleasant, high-volume, fast-paced office environment. Ability to meet closing deadlines and production standards is required. Involves extensive computer use and constant sitting.

  • 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.


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.