Patient Financial Services Representative 4 – Medicare Claims

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🏛️ District of Columbia, Florida, +9 estados a mais – Remoto

🏛️ District of Columbia – Remote 🐊 Florida – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

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💸 Planejamento e Análise Financeira (FP&A)

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Inova Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

A Inova é a principal provedora de saúde sem fins lucrativos do norte da Virgínia, oferecendo excelência clínica de classe mundial a todos em nossas comunidades, com um toque humano e acolhedor. Nossos mais de 22. 000 membros da equipe colaboram para alcançar metas de saúde individuais e coletivas em parceria com mais de 2 milhões de indivíduos que temos o privilégio de atender anualmente, abrangendo especialidades desde câncer até neurologia, ginecologia, cuidados neonatais e muito mais. Os resultados falam por si: o atendimento da Inova é consistentemente reconhecido pelos Centros de Medicare e Serviços Medicaid (CMS), pelo U. S. News & World Report Best Hospitals, pelas Notas de Segurança Hospitalar da Leapfrog por excelência e pelo American Nurses Credentialing Center. Seja ajudando todos a se manterem saudáveis, tratando doenças ou reparando lesões, temos as habilidades e a compaixão para atender a todas as necessidades. Somos a Inova: seu parceiro de saúde, para a sua vida.

Descrição

• Ensures that all clean claims are submitted the day they are received, submitted via the appropriate medium, and with all required attachments. Serves in the place of the supervisor or manager in their absence. • Resolves complex issues either through individual actions or by coordinating information/actions of other team members, Patient Accounts staff, other hospital departments, or at the payer level. Seeks assistance from supervisor when needed. • Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated within 24 hours from the date that claims are received. Identifies the need for and provides support/guidance to other team members to promote their efficiency and productivity. • Handles complex and/or highest dollar accounts while providing appropriate follow-up based on established protocol or SRGs. • Ensures appropriate and timely documentation of all account activity while appropriately handling all correspondence within 48 hours of receipt. • Documents activity in HealthQuest and TRAC and ensures that documentation is professional, appropriate, accurately depicts actions performed, and is in accordance with departmental quality review standards. • Works payer response reports and rejection reports while ensuring they meet departmental productivity and quality review standards. Maintains knowledge of payer requirements, UB-92 standards, system (Hospital, clearinghouse, payer) functionality, and hospital policies and procedures. • Takes direction from management to resolve issues in addition to providing support, education, and guidance to team members. Performs duties, as assigned, in the absence of the supervisor or manager. • May perform additional duties as assigned.

🎯 Requisitos

• Education: Associate Degree or an additional three years of experience appropriate to the position under consideration • Experience: 3 years of Experience in revenue cycle, finance, customer service or data analytics

🏖️ Benefícios

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. • Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. • Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules