Document Management Specialist
Company: Meduit
Location: Sartell
Posted on: April 25, 2024
Job Description:
WHAT WE DO: Meduit is seeking highly qualified candidates to
join our Insurance Specialist teams as a Document Management
Specialist. If you are goal driven, hard-working, and have
excellent communication or customer service skills, we invite you
to apply with us today! Document Management Specialists are
responsible for hospital and physician billing follow up. The
duties include working with payers and our Insurance Specialist
Teams to resolve issues and facilitate prompt payment of claims.
This position is highly focused on the resolution of insurance
processing errors and denials. Payers include but are not limited
to Medicare, Medicaid, Blue Cross, and commercial health insurance
carriers
Essential Duties and Accountabilities:
- Reduce outstanding accounts receivable by managing claims
inventory
- Coordinating with team members to confirm the appropriate
documentation needed for submission for claims reconsideration and
appeal requests.
- Gather information from patients, clients/family members,
client clinical areas, government agencies, employers, third party
payors and/or medical payment programs, etc. both in-person and by
telephone to register patients, gather or update information,
obtain referrals and pre-authorizations, complete appropriate
forms, conduct evaluations, determine benefits and eligibility
(insurance, public programs, etc.), determine financial
responsibility and/or to identify sources of payment for
services
- Request, input, verify, and modify patient's demographic,
primary care provider, and payor information
- Utilize tools, including computer programs, when indicated
- Utilize various databases and specialized computer software for
revenue cycle activities including eligibility verifications,
pre-authorizations, medical necessity, review/updating of patient
accounts, etc.
- Input, retrieve, and modify information and data stored in
computerized systems and programs; generate reports using computer
software
- Work with Claims and Collections in order to assist patients
and their families with billing and payment activities in order to
increase cash flow
- Other duties as assigned Education/Experience/ Minimum
Qualifications:
- HS. Diploma/GED
- Medical Billing/Follow-up experience
- Medicare, Medicaid, and commercial payor experience
required
- Must be willing to submit for a background check
- May work occasional evenings and Saturdays
- Must have high integrity
- Have a positive attitude and demonstrate teamwork Competencies:
To perform this job successfully, an individual must be able to
perform each essential job duty satisfactorily. Reasonable
accommodations may be made to enable qualified individuals with
disabilities to perform essential job functions:
- Demonstrated organizational skills and the ability to
prioritize and manage tasks based on established criteria
- Excellent verbal and written communication and interpersonal
skills
- Ability to work independently with minimal supervision, within
a team setting and be supportive of team members
- Proficient with Microsoft Office
- Ability to analyze issues and make judgments about appropriate
steps toward solutions
- Knowledge of patient billing claims process
- Familiarity with insurance explanations of benefits and denial
codes
- Knowledge of payor programs
- Strong and professional telephone communication skills
- Experience with electronic health record or similar software
program
- Knowledge of medical terminology and coding
- Knowledge of applicable federal and state regulations Special
Position Requirements:
- Language Skills: Ability to read, analyze, and interpret
information including training instructions and patient bills.
- Mathematical Skills: Ability to add, subtract, multiply, and
divide in all units of measure, using whole numbers, common
fractions, and decimals.
- Reasoning Ability: The person in this position frequently
communicates with consumers who have inquiries about their bills.
Must be able to exchange accurate information in these
situations.
- Computer Skills: Constantly operates a computer and other
office productivity machinery, such as a calculator, copy machine,
and computer printer. Work Requirements:
- Physical Demands: The physical demands described here are
representative of those that must be met by an employee to
successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions. Must be able to
remain in a stationary position over 50% of the time. Constantly
works in indoor weather conditions.
- Work Environment: The work environment characteristics
described here are representative of those an employee encounters
while performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities
to perform the essential functions. The noise level in the work
environment is usually quiet.
Meduit is an Equal Opportunity Employer and does not discriminate
against any employee or applicant for employment because of race,
color, religion, sex, age, national origin, disability, military
status, genetic information, sexual orientation, marital status,
domestic violence victim status or status as a protected veteran or
any other federal, state or local protected class.
Keywords: Meduit, Minneapolis , Document Management Specialist, Executive , Sartell, Minnesota
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