Skip to Main Content

Billing/Document Specialist (remote)

Russell Tobin & Associates San Antonio, TX

  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Our Client is looking for CSR/Document Specialist (Remote)

 

Position Overview:

  • Doc Collections Specialist position qualifies physician related documentation based on third party payers’ requirements.
  • Acts as the liaison between internal and external customer, third-party payer to ensure the order meets regulatory and payer requirements.
  • Obtain and analyze required documentation for clean billing of claims.

Responsibilities

  • Analyze and prioritize work list based on departmental inflows and to minimize pre-billing write offs.
  • Quality check of initial order release to ensure third party payer and coverage criteria is met
  • Review and analyze payer specific requirements and coverage criteria to determine required documentation and accurate payer criteria.
  • Conduct in depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on payer specific coverage criteria.
  • Call customer or field personnel to obtain missing documentation required for billing. Could include home health agencies, patients, hospital/facilities, physicians.
  • Build support and maintain patient, physician, and third-party payer loyalty and to increase the number of orders through enhanced customer services, customer relationship management, and technology utilization.
  • Provides a high level of customer service in a competitive market.
  • Acts as a resource for Sales and other cross functional departments to provide billing status and any other information.
  • Participates in all reasonable work activities deemed suitable and assigned by management.
  • Conforms to, supports and enforces all Company policies and procedures.

Required Qualifications

  • High School diploma or equivalent.
  • Demonstrated customer service skills.
  • Experience with Microsoft Office applications including Word, Excel, and email.
  • Demonstrated ability to interact with all employees and external business contacts while conveying a positive, service-oriented attitude.
  • Demonstrated problem-solving skills.
  • Demonstrated ability to work in a team environment, as well as independently.
  • Ability to multi-task and adapt in a fast-paced and changing environment.
  • Demonstrated ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment.
  • Ability to communicate effectively both verbally and in writing.
  • Satisfactory completion of all training programs.

Preferred Qualifications:

  • Two or more years of related healthcare experience.
  • Call center experience.
  • Some college course work completed.

Essential Functions

  • Requires repetitive keyboarding over 95% of the time and phone usage 60% of the time.
  • Works with moderate work direction, and can identify issues/problems but may need assistance in resolving.
  • Worker processes orders, prepares correspondence, and fulfills customer needs to ensure customer satisfaction.
  • Has knowledge of commonly-used concepts, practices, and procedures within a particular field.
  • Relies on instructions and pre-established guidelines to perform the functions of the job.
  • Works under immediate supervision.
  • Primary job functions do not typically require exercising independent judgment.
  • Typically reports to a supervisor or manager.

Russell Tobin & Associates

Russell Tobin & Associates's Logo

Address

San Antonio, TX
USA

Website

View all jobs at Russell Tobin & Associates