Regional Support Specialist (North West Region)
Regional Support Specialist (North West Region) Job Category :
Retail Requisition Number :
REGIO03380 Showing 1 location Job Details Description Approach and Deployment (What to Do & How to Do It) - Ensure positive Patient Journey experience is top priority for this position.
Obtain and handle patient insurance information in accordance with HIPPA guidelines.
Complete all patient paperwork such as purchase agreement, superbill, delivery confirmation, etc.
Work with vendor to correct problems for denied claims.
Ensure claims are paid accurately.
Address patient questions or concerns.
- Ensure process excellence and expertise in billing and document coordination Apply expertise in insurance billing to plans for specific region.
Ensure all documents are loaded.
Coordinate with vendor to bill claims using appropriate codes and modifiers.
Track to ensure all claims are billed.
Track aging for all sales:
Private pay, insurance, and third parties.
Coordinate with vendor on verification of benefits.
Receive sales information from offices to enter into the system.
Communicate with clinics about hearing aid insurance coverage and upgrade options.
Send completed paperwork to office for patient signature at fitting.
Results Performance Measures (How to Measure Success) Positive feedback from field offices Overall decrease in billing errors Overall decrease in accounts receivable (AR) Other Duties (Non-Measurable) Ensure compliance with contracts.
Check and verify quality of work.
React to change productively and handle other essential duties as assigned.
Job Requirements Knowledge, skills and abilities for performance of essential duties Minimum education, certification and experience requirements:
Education:
High school degree or equivalent work history.
Nice to have:
Associates degree in Business Administration, Accounting or Health Care Administration.
Experience:
Experience in office administration; hearing aid office experience preferred.
Knowledge Knowledge of insurance guidelines including HMO/PPO, , , and other payer requirements and systems.
Familiarity with CPT and preferred but not essential.
Knowledge of medical terminology likely to be encountered in medical claims.
Maintaining patient confidentiality as per the ).
At least 3 years of experience with billing/medical insurance processes.
Preferred:
Knowledge of hearing aid insurance billing processes.
Skills & Abilities Competent use of computer systems and software.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
Ability to work well in a team environment.
Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
A calm manner and patience working with either patients or insurers during this process.
Qualifications Skills Behaviors :
Motivations :
Education Experience Licenses & Certifications Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information.
41 CFR 60-1.
35(c) Recommended Skills Accounting Accounts Receivable Billing Business Administration Claim Processing Communication Estimated Salary: $20 to $28 per hour based on qualifications.
Retail Requisition Number :
REGIO03380 Showing 1 location Job Details Description Approach and Deployment (What to Do & How to Do It) - Ensure positive Patient Journey experience is top priority for this position.
Obtain and handle patient insurance information in accordance with HIPPA guidelines.
Complete all patient paperwork such as purchase agreement, superbill, delivery confirmation, etc.
Work with vendor to correct problems for denied claims.
Ensure claims are paid accurately.
Address patient questions or concerns.
- Ensure process excellence and expertise in billing and document coordination Apply expertise in insurance billing to plans for specific region.
Ensure all documents are loaded.
Coordinate with vendor to bill claims using appropriate codes and modifiers.
Track to ensure all claims are billed.
Track aging for all sales:
Private pay, insurance, and third parties.
Coordinate with vendor on verification of benefits.
Receive sales information from offices to enter into the system.
Communicate with clinics about hearing aid insurance coverage and upgrade options.
Send completed paperwork to office for patient signature at fitting.
Results Performance Measures (How to Measure Success) Positive feedback from field offices Overall decrease in billing errors Overall decrease in accounts receivable (AR) Other Duties (Non-Measurable) Ensure compliance with contracts.
Check and verify quality of work.
React to change productively and handle other essential duties as assigned.
Job Requirements Knowledge, skills and abilities for performance of essential duties Minimum education, certification and experience requirements:
Education:
High school degree or equivalent work history.
Nice to have:
Associates degree in Business Administration, Accounting or Health Care Administration.
Experience:
Experience in office administration; hearing aid office experience preferred.
Knowledge Knowledge of insurance guidelines including HMO/PPO, , , and other payer requirements and systems.
Familiarity with CPT and preferred but not essential.
Knowledge of medical terminology likely to be encountered in medical claims.
Maintaining patient confidentiality as per the ).
At least 3 years of experience with billing/medical insurance processes.
Preferred:
Knowledge of hearing aid insurance billing processes.
Skills & Abilities Competent use of computer systems and software.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
Ability to work well in a team environment.
Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
A calm manner and patience working with either patients or insurers during this process.
Qualifications Skills Behaviors :
Motivations :
Education Experience Licenses & Certifications Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information.
41 CFR 60-1.
35(c) Recommended Skills Accounting Accounts Receivable Billing Business Administration Claim Processing Communication Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
