Eligibility Representative - REMOTE

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Job description

TeamHealth is named among the "150 Great Places to Work in Healthcare" by Becker's Hospital Review and has ranked three years running as "The World's Most Admired Companies" by FORTUNE Magazine as well as one of America's 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.

• 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)
• GENEROUS Personal time off
• Eight Paid Holidays per year
• Quarterly incentive plans (up to $375 a quarter)

This is a fully remote position and equipment will be provided!

JOB DESCRIPTION OVERVIEW:

The Eligibility Representative is responsible for reviewing and processing eligibility reports that are received on a daily basis.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• This representative will verify eligibility and insurance information based off a work file in the IDX system. This person will interact with payers, and insurance websites to verify insurance information
• Recognize potential problems including issues with not receiving eligibility reports, not receiving correct or accurate information. Problems identified must be brought to the attention of the Senior and Supervisor of Eligibility
• Thorough knowledge of TeamHealth billing directives and process all claims according to these directives. The goal is to insure that the eligibility reports are correctly worked in a timely manner
• Consistently meet established completion times for projects and assignments
• Communicates with team members, willing to help other team members at a moment's notice to ensure eligibility reports are worked in a timely manner
• Consistently meet and maintain the QA and production standards
• Make decisions and take correct action based on history of invoice and eligibility results received to ensure correct insurance is billed
• Other duties as assigned by the Senior/Supervisor/Manager

QUALIFICATIONS / EXPERIENCE:

• Previous insurance eligibility experience
• High school diploma or equivalent
• Ability to analyze patient accounts and determine what action is required
• Knowledge of physician billing policies and procedures
• Strong computer skills, specifically MS Excel and 10-key skills
• Good analytical and organizational skills

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