Medical Insurance Specialist
Posted on: May 16, 2019
Description SHIFT: No WeekendsSCHEDULE: Full-time Parallon believes
that organizations that continuously learn and improve will thrive.
That?s why, after more than a decade, we remain dedicated to
helping hospitals and hospital systems operate knowledgeably,
intelligently, effectively and efficiently in the rapidly evolving
healthcare marketplace, today and in the future. As one of the
healthcare industry?s leading providers of business and operational
services.? Parallon is uniquely equipped to provide a broad
spectrum of customized revenue cycle services. ? JOB TITLE: VA
Specialist GENERAL SUMMARY OF DUTIES - Responsible for all aspects
of VA receivable processing, including but not limited to, billing,
collection, account and system maintenance, process reconciliation,
and productivity reporting. SUPERVISOR - Manager of VA Operations
SUPERVISES ? None DUTIES INCLUDE BUT ARE NOT LIMITED TO: ?
Maintains current knowledge of all office operations, job specific
requirements and related regulations. ? Reviews all claims for
completeness, reasonableness of charges, and appropriateness of
billing codes, and payer information. ? Pursues timely collection
of each claim using thorough follow-up efforts appropriate to each
payer. ? Reviews, makes corrections to, and insures the legibility
of outgoing secondary bills, and other correspondence before
sending. ? Handles all incoming phone calls and inquiries in an
appropriate manner. ? Properly processes and responds to incoming
correspondence. ? Contacts and effectively communicates with all
parties involved in the resolution of accounts placed. ? Completes
work request timely and in accordance with instruction. ? Performs
all of the task necessary to maintain current and accurate account
information in each of the appropriate systems (i.e. entering
notes, claims on hold). ? Forwards and logs all documentation
related to processes and duties which are transferred to other
employees. ? Brings problems and troubling accounts, as well as
related questions, to his/her immediate supervisor?s attention
daily. ? Exercised good judgment and makes sound decisions in the
absence of detailed instructions or in an emergency situation. ?
Treats client request with a high priority. Quickly informs
supervisor and any other personnel needed to help carry out the
request timely, accurately, and according to instruction. ? Strives
to improve current operations by identifying inefficiencies and
recurring problems, and by making suggestions to the immediate
supervisor. ? Adapts and conforms to company and client
requirements not specified in this job description/performance
review. ? Promotes the Medicare Service Center and helps to
identify the necessary resources to meet the needs of its
customers. ? Practice and adhere to the ?Code of Conduct?
philosophy and ?Mission and Value Statement? ? Other duties as
assigned KNOWLEDGE, SKILLS & ABILITIES ? Familiarity with VA
regulations. ? Knowledge of UB-04 billing. ? Knowledge of ICD-10
and CPT coding. ? Analytical and organizational skills. ? Ability
to identify, set, and follow priorities. ? Knowledge of hospital
business office operations. ? Strong PC and data entry skills. ?
Ability to communicate effectively with employees, clients, and
others. ? Character to maintain strict confidentiality. EDUCATION ?
High school graduate or equivalent EXPERIENCE ? VA claim processing
experience preferred CERTIFICATE/LICENSE - N/A --
Keywords: HealthTrust, Hendersonville , Medical Insurance Specialist, Other , Hendersonville, Tennessee
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