Responsibilities
• Organize data and submit claims for all assigned contracts.
• Verify hours/ review group notes.
• Complete daily/monthly audits ensuring all billable days have been accounted for and submitted.
• Ensure all policies are billed for with monthly SharePoint VOB checks.
• Communicate actions that need to be taken to submit claims.
• Communicates department needs to assigned Charge Specialist or Director.
• Maintains up to date knowledge of insurance payer requirements.
• Attendance report missing/short hours are reported to Charge Specialists biweekly basis and audited before submission to the facility.
• Resubmission of all claims that need corrections.
• Participate in monthly trainings.
• Participate in completion of special projects.
Qualifications and Requirements
• Understanding of various insurance payer requirements and policies to ensure compliance.
• Proficiency in maintaining organized records of claims, communications, and documentation.
• Proficiency in using Microsoft Office Suite for document management and collaboration.
• Ability to use Collaborate MD for submitting, tracking, and managing insurance claims efficiently.
• Ability to enter and review data meticulously to ensure all information is correct and complete.
• Clear and coherent in both written and verbal communication skills to articulate actions and issues related to claims to internal stakeholders and external contacts.
• Strong time management skills to prioritize tasks, manage deadlines, and handle multiple claims simultaneously.
• Ability to address and resolve conflicts or disputes related to claims and reimbursements.
• Adherence to ethical standards and company policies in handling claims and personal data.
