Claims Follow Up Rep
- Job ID: 57767
- Entity: Lifespan Corporation
- Location Name: Corporate Headquarters
- City, State: Providence, RI
- Work Type: FULL TIME
- Hours Per Week: 40.00
- Shift: Day
- Posted Date: 5/10/2024
Summary: Under
general supervision of the Follow-up Supervisor performs all duties necessary
to follow up on outstanding claims and correct all denied claims for a large
physician specialty practice.
Responsibilities: Review all Identify Continually Understand Contact Report to Answers Retrieve Refer all Work with Maintain Perform
denied claims correct them in the system and send corrected/appealed claims as
written correspondence fax or via electronic submission.
and analyze denials and enact corrective measures as needed to effectively
communicate and resolve payer errors.
maintain knowledge of payer specific updates via payer�s listservs provider
updates webinars meetings and websites.
and maintain compliance with HIPAA guidelines when handling patient information
internal departments to acquire missing or erroneous information on a claim
resulting in adjudication delays or denials.
supervisor identification of denial trends resulting revenue delays.
telephone inquiries from 3rd party payers; refer all unusual requests to
supervisor.
appropriate medical records documentation based on third party requests.
accounts to supervisor for additional review if the account cannot be resolved
according to normal procedures.
management to improve processes increase accuracy create efficiencies and
achieve the overall goals of the department.
quality assurance safety environmental and infection control in accordance
with established policies procedures and objectives of the system and
affiliates.
other related duties as required.
Other information: BASIC Equivalent Knowledge Demonstrated Highly Demonstrated EXPERIENCE: One to Experience
KNOWLEDGE:
to a high school graduate.
of 3rd party billing to include ICD CPT HCPCS and 1500 claim forms.
skills in critical thinking diplomacy and relationship-building.
developed communication skills successfully demonstrated in effectively
working with a wide variety of people in both individual and team settings.
problem-solving and inductive reasoning skills which manifest themselves in
creative solutions for operational inefficiencies.
three years of relevant experience in professional billing preferred.
with Epic a plus.
Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.
Location: Corporate Headquarters USA:RI:Providence
Work Type: Full Time
Shift: Shift 1
Union: Non-Union
