Job Purpose
The Operational Support Specialist will provide support to the Collections and Billing Teams.
Duties & Responsibilities
- Monitor new business, cash, returned accounts and other assigned files
- Reconcile daily placements, import and audit reports
- Process assigned worklists to assist in the adjudication of inventory in all product lines
- Generate, analyze and process reports
- Interact with appropriate personnel to resolve account issues
- Perform online adjustments on various systems
- Notify management of inventory and file anomalies
- Perform follow-up activity as needed
- Process correspondence
- Utilize and documents applicable company, hospital and payer systems
- Other duties as assigned
- Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Understand and comply with Information Security and HIPAA policies and procedures at all times
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
- High school diploma or equivalent required
- 1+ years’ experience working in a revenue cycle insurance function with follow-up/billing experience
- Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
- Basic math and typing skills
- Proficiency in Microsoft Office Suite
- Strong interpersonal skills, ability to communicate well at all levels of the organization
- Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
- High level of integrity and dependability with a strong sense of urgency and results oriented
- Excellent written and verbal communication skills required
Working Conditions
- Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
- Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
- Work Environment: The noise level in the work environment is usually minimal
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.