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Form of workJob Description
Join a team of dynamic, results oriented professionals!
Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review
- Career Growth Opportunities
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
- 401K program (Discretionary matching funds available)
- Employee Assistance Program
- Referral Program
- Dental plans & Vision plans
- GENEROUS Paid Time Off
- Eight Paid Holidays per year
- Quarterly incentive plans
- Employee of the month awards with monetary gift and parking space
- Training Programs
- Fitness Center with personal trainer on site
- Wellness programs
- Flexible work schedule
JOB DESCRIPTION OVERVIEW:
Under direct supervision, the Clerical Support Clerk is responsible for daily administrative and clerical duties in the Clerical Support department. This position involves various processes. Stamping outgoing mail, GDI-Imaging, Clerical MR/Sorting, Sorting Payer Correspondence, Clerical 2nd INV Billing, Printed Claims-Clerical EOB’s-(Can’t find-Primary EOB’s), Clerical Return Mail, OP Clerical, ETM-Clerical EOB, Bad Address claims report, Matching of Overprovisions Checks and remits. Processing Risk Medical Records request. Ordering of department supplies and other clerical and administrative duties as assigned. The position works in a cooperative team environment to provide value to customers (internal and external). The Clerical Assistant carries out his/her duties by adhering to the highest standards of ethical and moral conduct and acts in the best interest of TeamHealth.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Clerical Support Representatives processes the following: GDI-Imaging, Clerical MR/Sorting, Clerical MR Sorting, Sorting Payer Correspondence Clerical 2nd INV Billing, Printed Claims-Clerical EOB’s-(Can’t find-Primary EOB’s), Clerical Return Mail, OP Clerical, ETM-Clerical EOB, Bad Address claims report, Matching of Overprovisions Checks and remits.
- Responsible for requesting medical records and following up on these requests from the facilities.
- Responsible for providing only copies of billing statement(s), claims, subpoenas or affidavits in response to attorney, patient or medical record retrieval company’s requests. Billing Center sends the documents through ChartSwap or the U.S. Postal Service (USPS).
- Retrieves/receives the medical records via mail or electronically and sorts the medical records.
- Receives medical record requests daily through the Advanced Web ETM system
- Distributes the medical records to the appropriate recipient.
- Ensures compliance with state and federal laws and regulations, including HIPAA.
- Maintains thorough and detailed knowledge of insurance and follow up guidelines and regulations of third party payers. Exhibits an understanding of state and federal billing and follow up regulations as it relates to Medicare, Medicaid, and Managed Care and Commercial Insurance companies.
- Exhibits an understanding of CPT, HCPCS and ICD-10 coding regulations and guidelines.
- Demonstrates knowledge of HCFA 1500 billing forms and filling requirements. Exhibits an understanding of electronic claims editing and submission capabilities including Medicare and NEIC on-line claims processing and query system.
- The scanning of all documents into the system on a daily basis, to include, face sheets, payments, correspondence, reports, and anything else needed for patient documentation.
- To verify that all information is appropriately captured in the system.
- To help with the retrieval of any needed documentation.
- In accordance with current TH guidelines, coordinates the destruction of hard copy files.
- May perform special assignments and other related tasks as assigned.
- Meets employer/customer expectations and requirements, and gains employer/customer trust and respect.
- Functions effectively within a team. Participates, and contributes constructively to produce results in a cooperative effort.
- Demonstrates ongoing enthusiasm and commitment to the work assigned.
- May perform special assignments and other related tasks as assigned.
