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Centralized Services Specialist I

Maxim Healthcare Talent Resources Columbia ,MD
  • Posted: over a month ago
  • Full-Time
Job Description

Position Description:

The Centralized Service SpecialistI reviews and processes Insurance Verification Forms, Physician Licensurerequests, Authorizations and Orders and provides customer support to theBilling Teams and offices.

Essential Duties andResponsibilities:

  • Accurately enters and/or processes:
  • Authorizationswithin 24 hours of Vision upload and before close of business on Tuesday for uploads that impact payroll
  • Processes 485/Supplemental Orders within 48 hours ofVision upload
  • Processes F&Dwithin 48 hours and on Tuesday process any that would potentially impact payroll
  • Addresses and/or resolves authorization/order ticketswith 24 hours of submission
  • Completes Insurance Verification forms within 24 hoursof submission
  • Assists/obtainsall authorizations (initial and re-authorizations) for designated offices
  • Re-authorizations should be obtained prior to the nextauthorization period
  • Runsmonthly eligibility for identified payers
  • Works bill holds for:
  • Authorizations
  • 485/Supplemental Orders
  • Striving for norevenue to be on-hold for lack of authorization for purposes of cash flow and minimizing risk
  • Works new Zero Bills by 12pm Thursdays and outstandingZero Bills timely
  • Continuouslyadds/updates information on payer site
  • Enters physicianinformation into Vision within 24 hours and imports new physicians into Echo monthly
  • Provides excellent customer service for our officepartners, patients, and payers
  • Follows all quality processes for department to avoidpreventable write-offs
  • Performsother duties as assigned

Minimum  Requirements:

  • High school diploma or equivalent
  • Experience in medical billing or authorizations preferred
  • Quick and accurate alpha/numeric data entry skills
  • Must possess the following core competencies:
  • Excellent customer service skills
  • Attention to detail
  • Time management/organizational skills
  • Ability to learn on the fly
  • Excellent work ethic and commitment to job responsibilities
  • Proficiency in MicrosoftOffice, including workingknowledge of Microsoft Word/Excel and Web- enabled applications
  • Must present a positive image that reflects well onthe organization


Benefits
At Maxim Healthcare Group, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
  • Competitive pay & weekly paychecks
  • Health, dental, vision, and life insurance
  • 401(k) savings plan
  • Awards and recognition programs 
*Benefit eligibility is dependent on employment status. 

About Maxim Healthcare Group
Maxim Healthcare Group has making a difference in the lives of our patients, caregivers, and employees for more than 30 years. Our nationwide suite of services includes home healthcare, companion and behavioral care, healthcare staffing, and workforce solutions. Maxim’s commitment to customer service, compassionate patient care, and filling critical staffing needs makes us a trusted partner wherever healthcare is needed.  

Maxim Healthcare Group is an Affirmative Action/Equal Opportunity Employer

Maxim Healthcare Talent Resources

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