Duties & Responsibilities:

• Communicates with providers regarding verification of patient and insurance demographic information.
• Investigates and responds to errors generated from electronic claims submissions.
• Assists in researching eligibility submission problems/new client submissions.
• Interfaces with other departments, external providers or clients, as may be required, to resolve errors.
• Initiates verbal and written correspondence to internal and external sources to verify patient and claim information.
• Verifies patient information using links to hospitals and web based sites.
• Provides back up support in all areas of the Front End Department.
• Coordinates activities with other team members to insure timely distribution of work to outside locations
• Remains knowledgeable and current on third party requirements, and regulatory guidelines at the federal, state, and local levels.
• Reports to work, meetings and professional obligations on time.
• Participates in administrative staff meetings and attends other meetings and seminars.
• Assist in evaluation of reports, decisions, and results of department in relation to established goals.
• Recommends new approaches, policies, and procedures to effect continual improvements in efficiency of department and services performed.
• Serves as a member of the Front End Team. Performs duties necessary to ensure the team's projects/goals are completed.
• Takes ownership of special projects, researches data and follows through with detailed action plans.
• Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
• Performs other related duties as required and assigned.

Experience/Skill Requirements:

• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Ability to deal with problems involving several concrete variables in standardized situations.

Education/Certification Requirements:

• One-year certificate from college or technical school; or one to two years related experience and/or training; or equivalent combination of education and experience

Total Rewards

• Salary: $49,000 -65,00 per year
• Generous benefits package, including:
  • Paid Time Off
  • Health, life, vision, dental, disability, and AD&D insurance
  • Flexible Spending Accounts/Health Savings Accounts
  • 401(k)
  • Leadership and professional development opportunities