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Senior Registration Charge Entry in Los Angeles, California at TeamHealth

Date Posted: 8/20/2019

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: 

Under direct supervision, the Reg/Charge Entry Senior is responsible for directing the day-to-day operations within the Registration Department, having working knowledge of payer contracts, payer/billing guidelines, resolving payer issues and performing quality audits. The Senior oversees the workflow, and daily activities to ensure the department meets quality and production standards. The Senior provides support to the following various processes Data Entry, Claim Edits, Rejections, Exceptions, Financial Status Classification and TES Edits. This position distributes monitors, communicates, and organizes workloads within the Registration Department. The Registration Senior directs the day-to-day education of all employees on department processes. This position deals directly with employees to resolve work related issues, addressing production issues and for completing all daily, weekly and monthly reporting requirements. The Registration Senior monitors performance to advise manager of any deficiencies. The position works in a cooperative team environment to provide value to customers (internal or external). This individual exercises independent judgment in key decision-making processes. The Registration Senior carries out his/her duties by adhering to the highest standards of ethical and moral conduct, and acts in the best interest of TeamHealth.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

  • Manages and oversees the Reg/Charge Entry Representatives for the following processes: Data Entry, Claim Edits, TES Edits, Oracle Exceptions, Matching and FSC coding (Facesheets)
  • Ensures all processes are completed within expected TeamHealth time frames and metrics
  • Responsible for having working knowledge of payer eligibility and benefits verification/billing guidelines
  • Has complete understanding and working knowledge of navigating payer websites
  • Continuously reviews Days in A/R and prioritizes oldest aged accounts to adhere to timely filing standards
  • Ensures Data Entry staff is processing the daily facesheets received from the Chart Capture team and processed within 3 days of receipt of the facesheets
  • Ensures that all Claim and TES Edits are worked timely and accurately
  • Escalates any large issues related to unbilled charges
  • Responsible for assigning/organizing projects (internal/payer) to Eligibility/Registration Representatives or Billing Center (if needed) and ensuring the projects are completed timely and accurately
  • Coordinates with and provides feedback to management regarding process improvements, trends, errors or issues as they relate to the registration department
  • Responsible for employee training, answering employee questions/resolving issues, performing quality audits and providing feedback on performance in a timely manner
  • Responsible for running daily/weekly reports to determine workloads, quality, trends, and preventive measures for the department
  • Responsible for completing Senior assignments in a timely manner, as scheduled.
  • Responsible for conducting employee staff meeting and has the ability to speak to large groups
  • Monitors employees’ performance (including production, quality of work, etc.) and advises Manager of any deficiencies
  • Assist in monitoring employees’ obedience to TeamHealth policies and procedures and advises Manager and HR of any issues or concerns
  • Responsible for working/assisting other department Seniors/Supervisors/Mangers with inquiries
  • Communicates with customers to resolve inquiries/issues (patients, payers, vendors, regional offices, other Billing Center departments, etc.) in a timely and professional manner
  • Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care and self-pay payers
  • Maintains ongoing knowledge of HCFA 1500 and other mandatory state billing forms and filling and follow up requirements and ensures compliance of CPT, HCPCS and ICD-10 coding regulations and guidelines
  • Continually seeks to understand and act upon customer needs, concerns, and priorities
  • Meets customer expectations and requirements, and gains customer trust and respect
  • Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort
  • Demonstrates ongoing enthusiasm and commitment to the work assigned
  • Participates in a process to continually improve organizational effectiveness using self-assessment performance evaluation criteria

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

  • Approximately five+ years of experience with insurance denial and correspondence processes within a multi-facility environment.
  • Knowledge of insurance carriers’ payment regulations including various reimbursement schemes, coinsurance, payer and billing guidelines, deductibles, and contractual adjustments is necessary as well as significant working knowledge of the insurance process, denials, appeals and insurance eligibility, and HIPPA guidelines and laws
  • Demonstrates success working in a team environment focused on meeting organization goals and objectives is necessary.
  • Experience with providing visible participation and support of major change initiatives preferred.
  • Some college coursework in business administration or accounting preferred
  • Some supervisor experience is helpful
  • Advanced knowledge of Microsoft Excel, Word, and PowerPoint is preferred
  • Ability to operate a computer efficiently and accurately
  • Ability to operate various office machines (i.e., fax, copier)
  • Knowledge of basic math and the ability to perform math functions in units of American currency
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
  • Ability to think analytically, conceptually, and systemically; to synthesize complex or diverse information; collect and research data, draw valid conclusions, and make appropriate project decisions
  • Ability to write, speak and listen well and appropriately with different audiences
  • Able to write reports, business correspondence, and other documentation materials
  • Able to present information and respond to questions from groups of managers, clients, customers
  • Ability to review documents for accuracy and reasonability
  • Ability to determine priorities
  • Ability to handle multiple tasks & meet deadlines within standards. Excellent organizational skills
  • Ability to work within a team environment as well as unsupervised
  • Ability to coordinate schedules and information
  • Ability to conduct mathematical and statistical analysis
  • Ability to work well under pressure.
  • Tact and patience when dealing with individuals at all levels, both within and outside the company
  • Possesses positive, curious, realistic attitude.  Is principled, self-aware, and self-motivated
  • Commitment to TeamHealth values
  • Ability to communicate effectively orally, in person and on the telephone, and in writing, with individuals at all levels, both within and outside the company
  • Knowledge of health insurance eligibility verification requirements and processes
  • Knowledge of health care industry and various payers’ guidelines and policies (Medicare, Medicaid, Commercial, HMO, PPO, IPA, TPA, etc.) Knowledge of health insurance terminology
  • Knowledge of health insurance benefits verification (medical, behavioral, etc.)
  • Knowledge of health insurance requirements and follow up procedures
  • Knowledge of coordination of benefits requirements and processes.
  • Knowledge of health insurance patient billing requirements
  • Knowledge of insurance rejection/denial processing to perform follow up activity
  • Ability to type efficiently and accurately
  • Strong analytical and problem solving skills

PHYSICAL / ENVIRONMENTAL DEMANDS: 

  • 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
  • May require physical and/or mental stamina to work additional hours beyond a regular schedule and/or more than five days per week
  • Set in a pleasant, high-volume, fast-paced office environment
  • Ability to meet closing deadlines and production standards is required
  • 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 for meetings and trainings

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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