Provides ongoing support to the team to ensure that day-to-day service and production goals are met.
Assists management in monitoring associates' goals and objectives daily; motivates and encourages associates to maximize performance.
Provides ongoing feedback, recommendations, and training as appropriate.
Assists supervisors in ensuring staff adherence to company policy and procedures.
Assists supervisors in related personnel documentation as required, necessary, or appropriate.
Acts as a subject matter expert in claims processing.
Investigates insurance claims; properly resolves by follow-up & disposition.
Leads and manages invoicing projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.
Resolves complex invoicing complaints, including member call back and agent co, to ensure timely and accurate reimbursement.
Verifies patient eligibility with secondary insurance company when necessary.
Bills supplemental insurances including all Medicaid states on paper and online.
Manages invoicing queue as assigned in the appropriate system.
Investigates and updates the system with all information received from members.
Ensures that all information given by representatives is accurate by cross-referencing with the patient's account, followed by using honest judgment in any changes that may need to be made.
Updates patient files for insurance information, Medicare status, and other changes as necessary or required as related to billing when necessary.
Maintains accurate and detailed notes in the company system.
Leads the outsourced team, providing guidance, answering questions, and ensuring that the team delivers high-quality customer service related to patient invoicing.
Serves as the primary contact for outsourced team members, resolving any issues or concerns that arise in the invoicing process.
Ensures that outsourced team members are trained in company policies, procedures, and systems related to invoicing and customer service.
Monitors the performance of the outsourced team, providing feedback and support to help them achieve their goals and improve their skills.
Collaborates with the outsourced team to identify and implement process improvements that enhance efficiency and customer satisfaction.
Adapts quickly to frequent process changes and improvements.
Is reliable, engaged, and provides feedback as to improve processes and policies.
Attends all department, team, and company meetings as required.
Appropriately routes incoming calls when necessary.
Meets company quality standards
Requirements
High School diploma or equivalent
3 years' experience with insurance billing and processing claims preferred
3 years' experience with Medicare claims, and Medicare and private insurance verification preferred
Knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices
Full knowledge all areas of collections specialization preferred
Proficiency in basic math and business calculations
Working knowledge of computer/data entry with the ability to learn new systems
Basic level of MS Office proficiency
What is expected of you and others at this level
Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations.
Proactive identification of challenges, and solution-oriented approach to problem solving.
Service-orientation and aptitude to aptitude to resolve insurance and/or patient matters.
Effective analytical skills: able to use inductive and deductive reasoning to anticipate outcomes.
Self-directed accountability and reliability
Effective communication, and interpersonal skills, with the ability to influence and collaborate effectively with cross-functional teams.
Cross-trained on all collections processes
Able to resolve highly escalated collections issues or concerns
Able to mentor and train as needed
Able to manage and prioritize multiple tasks/projects, work autonomously, and meet deadlines.
Able to work well in a team environment that promotes inclusiveness and communication among team members.
Communication using both verbal and written English proficiency.
Cultural competence
Anticipated Hourly rate : $20.02 - $25.78 per hour
Bonus eligible : Yes
Benefits : Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vi
Benefits
Health insuranceDental insuranceRemote work optionsPerformance bonus
Additional Information
Remote Hours: Monday - Friday, 8:00 AM - 4:30 PM EST (or based on business needs)
What Revenue Cycle Management (RCM) contributes to Cardinal Health
Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero.
Cardinalhealth · Florida-work From Home, FL