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About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The Patient Business Services Rep II-Access Registration is responsible for tasks relating to the completion of patient registration for hospital and/or physician services. The Patient Business Services Rep II -Access Registration will be required to have flexibility to learning and comprehending complex hospital systems in order to communicate directly with patients, healthcare providers, physician offices and ensuring the information collection is complete and accurate. The Patient Business Services Rep II -Access Registration will be responsible that their patient, payer and provider interactions are carried out according to company, client and federal guidelines. The Patient Business Services Rep II-Access Registration will be required to work schedules that accommodate a 24/7 work schedule and be able to independently make compliant decisions on how to apply HIPAA and FCC regulations. *this position is REMOTE for candidates residing in HI*ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL JOB FUNCTIONS:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member. Access Registration Tasks&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <ul><li>Exceed productivity standards as outlined by business line</li><li>Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage</li><li>Accurately document patient demographics and health plan information</li><li>Support access registration, insurance verification and authorization functions</li><li>Contact physician offices and/or payers for follow-up on eligibility and authorizations and</li><li>Maintain quality scoring and accuracy on all accounts worked</li><li>Ability to work independently and make responsible decisions</li><li>Completes timely follow-up on assigned accounts to ensure no cash loss</li><li>Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals</li><li>Acts as a knowledge resource for team members</li><li>High level understanding of client host system functions</li><li>Clearly documents actions taken and next steps for account resolution in patient accounting system</li></ul>Ensure all accounts are worked within client standards and Federal Regulations.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Work within federal, state regulations, department/division &amp; all Compliance Policies&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications&nbsp;&nbsp;</li></ul>Maintain continuing education, training in industry career development&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.</li><li>Attend training sessions as directed by management and disseminate to colleagues</li><li>Integrate information obtained through training sessions and policy changes immediately into daily routine</li></ul>EDUCATION: High SchoolEXPERIENCE: <ul><li>Minimum of 1 year of Access Registration or front office physician healthcare experience</li><li>Minimum of 3 year in hospital or physician operation</li><li>Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE-State other desired, but not required, education or experience.<ul><li>Epic hospital system experience</li><li>Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements</li><li>Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred</li><li>Remote working experience</li></ul>KNOWLEDGE, SKILLS and ABILITIES - Describe specific minimum knowledge, skills, and abilities required for this position.&nbsp; Also, list any special courses, certifications, or physical requirements that are necessary.&nbsp; This is especially critical for screening candidates.<ul><li>Exceptional customer service skills.</li><li>Excellent verbal and written communication skills.</li><li>Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.</li><li>Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.</li><li>Ability to follow regulations outlined by state, federal, and third-party coverage procedures.&nbsp;</li><li>Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client.</li><li>Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.</li><li>Ability to prioritize and effectively anticipate and respond to issues as they arise.</li><li>Ability to post transactions in multiple systems.</li><li>Good analytical and problem-solving skills.</li><li>Ability to work independently.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth

Patient Services Representative II - Registration

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The Patient Business Services Rep II-Access Registration is responsible for tasks relating to the completion of patient registration for hospital and/or physician services. The Patient Business Services Rep II -Access Registration will be required to have flexibility to learning and comprehending complex hospital systems in order to communicate directly with patients, healthcare providers, physician offices and ensuring the information collection is complete and accurate. The Patient Business Services Rep II -Access Registration will be responsible that their patient, payer and provider interactions are carried out according to company, client and federal guidelines. The Patient Business Services Rep II-Access Registration will be required to work schedules that accommodate a 24/7 work schedule and be able to independently make compliant decisions on how to apply HIPAA and FCC regulations. *this position is REMOTE for candidates residing in HI*ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL JOB FUNCTIONS:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Access Registration Tasks&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <ul><li>Exceed productivity standards as outlined by business line</li><li>Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage</li><li>Accurately document patient demographics and health plan information</li><li>Support access registration, insurance verification and authorization functions</li><li>Contact physician offices and/or payers for follow-up on eligibility and authorizations and</li><li>Maintain quality scoring and accuracy on all accounts worked</li><li>Ability to work independently and make responsible decisions</li><li>Completes timely follow-up on assigned accounts to ensure no cash loss</li><li>Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals</li><li>Acts as a knowledge resource for team members</li><li>High level understanding of client host system functions</li><li>Clearly documents actions taken and next steps for account resolution in patient accounting system</li></ul>Ensure all accounts are worked within client standards and Federal Regulations.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Work within federal, state regulations, department/division &amp; all Compliance Policies&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications&nbsp;&nbsp;</li></ul>Maintain continuing education, training in industry career development&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.</li><li>Attend training sessions as directed by management and disseminate to colleagues</li><li>Integrate information obtained through training sessions and policy changes immediately into daily routine</li></ul>EDUCATION: High SchoolEXPERIENCE: <ul><li>Minimum of 1 year of Access Registration or front office physician healthcare experience</li><li>Minimum of 3 year in hospital or physician operation</li><li>Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE-State other desired, but not required, education or experience.<ul><li>Epic hospital system experience</li><li>Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements</li><li>Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred</li><li>Remote working experience</li></ul>KNOWLEDGE, SKILLS and ABILITIES - Describe specific minimum knowledge, skills, and abilities required for this position.&nbsp; Also, list any special courses, certifications, or physical requirements that are necessary.&nbsp; This is especially critical for screening candidates.<ul><li>Exceptional customer service skills.</li><li>Excellent verbal and written communication skills.</li><li>Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.</li><li>Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.</li><li>Ability to follow regulations outlined by state, federal, and third-party coverage procedures.&nbsp;</li><li>Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client.</li><li>Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.</li><li>Ability to prioritize and effectively anticipate and respond to issues as they arise.</li><li>Ability to post transactions in multiple systems.</li><li>Good analytical and problem-solving skills.</li><li>Ability to work independently.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Patient Business Service Rep II - Registration

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The Patient Business Services Rep II-Access Registration is responsible for tasks relating to the completion of patient registration for hospital and/or physician services. The Patient Business Services Rep II -Access Registration will be required to have flexibility to learning and comprehending complex hospital systems in order to communicate directly with patients, healthcare providers, physician offices and ensuring the information collection is complete and accurate. The Patient Business Services Rep II -Access Registration will be responsible that their patient, payer and provider interactions are carried out according to company, client and federal guidelines. The Patient Business Services Rep II-Access Registration will be required to work schedules that accommodate a 24/7 work schedule and be able to independently make compliant decisions on how to apply HIPAA and FCC regulations. *this position is REMOTE for candidates residing in HI*ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL JOB FUNCTIONS:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Access Registration Tasks&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <ul><li>Exceed productivity standards as outlined by business line</li><li>Complete patient registration (post clinical triage of patient) by obtain and verify health plan coverage</li><li>Accurately document patient demographics and health plan information</li><li>Support access registration, insurance verification and authorization functions</li><li>Contact physician offices and/or payers for follow-up on eligibility and authorizations and</li><li>Maintain quality scoring and accuracy on all accounts worked</li><li>Ability to work independently and make responsible decisions</li><li>Completes timely follow-up on assigned accounts to ensure no cash loss</li><li>Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals</li><li>Acts as a knowledge resource for team members</li><li>High level understanding of client host system functions</li><li>Clearly documents actions taken and next steps for account resolution in patient accounting system</li></ul>Ensure all accounts are worked within client standards and Federal Regulations.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Work within federal, state regulations, department/division &amp; all Compliance Policies&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications&nbsp;&nbsp;</li></ul>Maintain continuing education, training in industry career development&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.</li><li>Attend training sessions as directed by management and disseminate to colleagues</li><li>Integrate information obtained through training sessions and policy changes immediately into daily routine</li></ul>EDUCATION: High SchoolEXPERIENCE: <ul><li>Minimum of 1 year of Access Registration or front office physician healthcare experience</li><li>Minimum of 3 year in hospital or physician operation</li><li>Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE-State other desired, but not required, education or experience.<ul><li>Epic hospital system experience</li><li>Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements</li><li>Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred</li><li>Remote working experience</li></ul>KNOWLEDGE, SKILLS and ABILITIES - Describe specific minimum knowledge, skills, and abilities required for this position.&nbsp; Also, list any special courses, certifications, or physical requirements that are necessary.&nbsp; This is especially critical for screening candidates.<ul><li>Exceptional customer service skills.</li><li>Excellent verbal and written communication skills.</li><li>Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.</li><li>Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.</li><li>Ability to follow regulations outlined by state, federal, and third-party coverage procedures.&nbsp;</li><li>Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client.</li><li>Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.</li><li>Ability to prioritize and effectively anticipate and respond to issues as they arise.</li><li>Ability to post transactions in multiple systems.</li><li>Good analytical and problem-solving skills.</li><li>Ability to work independently.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Patient Business Services Rep II - Registration

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:IP Coding Specialist are an important part of the Team at CorroHealth. The Coding Team Member will provide CPT, HCPCS and ICD-10-CM coding for 4 or more specialties for one or more clients, facility, or multiple facilities or clients. The IP Coding Specialist will be an Inpatient coder or could be asked to help out and coder other chart types. Level 2 Trauma experienceESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Team Member must be able to work from home and be independent in their coding skills.<ul><li>Provide various components of coding services to support our clients.</li><li>Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10, CPT, and HCPCS codes.</li><li>Recognize critical care cases by patient acuity.</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS.</li><li>Interpret coding guidelines for accurate code assignment.</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Must maintain quality and productivity standards.</li><li>Communicate with clients in a professional manner that fosters an excellent working relationship to support the company and its business interests</li><li>May assist Leadership, or Lead Coding Specialist, with reports as needed</li><li>Potential opportunity to begin helping with auditing.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>All Coders must maintain at least one credential either through AAPC or AHIMA.</li><li>Actively participate in Company provided training and education.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P)</li><li>Preferred Certification is CCS</li><li>Must have a minimum of 2 years of experience.</li><li>Must have advanced working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying, and create a basic pivot table.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Must have current coding materials such as CPT and ICD-10-CM coding references.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher.</li><li>Will be required to maintain an ongoing quality score of 95% or higher.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines.</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Inpatient Coding Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:CorroHealth is looking for Outpatient Coders with the following experience: Injections/Infusion, Oncology, Observation, Amb Surg, Denials, Claim Edits. Must be experienced using Epic software.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Team Member must be able to work from home and be independent in their coding skills.</li><li>Provide various components of coding services to support our clients.</li><li>Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company</li><li>Recognize critical care cases by patient acuity.</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>Actively participate in Company provided training and education.</li><li>All Coders must maintain at least one credential through either AAPC or AHIMA.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).</li><li>Must have at least a minimum of 6 months of on the job experience.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Must have working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher</li><li>Will be required to maintain a quality score of 95% or higher</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Outpatient Coding Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Essential Duties and Responsibilities<ul><li>Conduct clinical documentation tasks, meeting productivity and quality standards as set for each project.&nbsp;</li><li>Adhere to all coding and clinical documentation improvement guidelines as endorsed by AHIMA and ACDIS.&nbsp;</li><li>Perform review on clinical documentation and issue queries when appropriate.</li><li>Review medical records for completeness and accuracy for severity of illness and risk of mortality.&nbsp;</li><li>Accurate and timely record review.&nbsp;</li><li>Demonstrate knowledge of DRG payer issues, documentation opportunities, and clinical documentation requirements.&nbsp;</li><li>Analyze findings and identify potential root causes of produced errors.&nbsp;</li></ul>Knowledge, Skills &amp; Abilities: Qualifications Desired Minimum Qualifications:<ul><li>Experience with telecommuting, working with EMRs and other electronic tools.&nbsp;</li><li>Strong analytical skills.&nbsp;</li><li>Strong Microsoft Office skills.&nbsp;</li><li>Works well with numbers.&nbsp;</li><li>Strong team player.&nbsp;</li><li>Ability to work with multiple and diverse clients and projects.&nbsp;</li><li>Ability to work with minimal supervision.&nbsp;</li><li>Ability to maintain and access multiple files.&nbsp;</li><li>Assure that work product is completed with high levels of accuracy and attention to detail.&nbsp;</li></ul> Education &amp; Experience:<ul><li>CCDS, CDEI, or CDIP certification required.</li><li>Current RN license</li><li>Two years CDI experience.</li><li>Two years or more clinical experience in an acute care setting preferred.</li><li>Coding professional with CCS or RHIT/RHIA and CDI credential. Minimum three years CDI experience in IP CDI reviews required.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CDI Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Coding Specialists are an important part of the Team at CorroHealth. This coder will provide coding for the professional side of surgery.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.<ul><li>Team Member must be able to work from home and be independent in their coding skills.</li><li>Provide various components of coding services to support our clients.</li><li>Calculate ProFee and/or Facility E/M levels by using an algorithm created by our company</li><li>Recognize critical care cases by patient acuity.</li><li>Code surgical procedures typical of an ER setting to capture additional revenue when appropriate.</li><li>Apply ICD-10-CM diagnosis codes to the highest level of specificity available.</li><li>Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS</li><li>Interpret coding guidelines for accurate code assignment</li><li>Identify the importance of documentation on code assignment and the subsequent reimbursement impact.</li><li>Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.</li><li>Comply with all internal policies and procedures.</li><li>Actively participate in Company provided training and education.</li><li>All Coders must maintain at least one credential through either AAPC or AHIMA.</li><li>Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information</li></ul>MINIMUM QUALIFICATIONS &amp; REQUIREMENTS:<ul><li>All coders MUST be certified through either the AAPC (CPC or COC) or AHIMA (CCS or CCS-P).</li><li>Must have at least a minimum of 6 months of on the job experience.</li><li>Regular, predictable, and punctual attendance is required.</li><li>Must have working knowledge and experience with systems such as EMR, Billing, etc</li><li>Must have a phone, reliable internet connection and current coding materials such as CPT and ICD-10-CM coding references.</li><li>Will be required to maintain an ongoing productivity level and accuracy rate of 95% or higher</li><li>Will be required to maintain a quality score of 95% or higher</li><li>Must be proficient in Microsoft programs like Excel and Outlook. Examples include:</li><li>Excel you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.</li><li>Outlooks you should be able to manage emails and schedule and attend meetings.</li><li>Ability to communicate effectively and professionally both verbally and written.</li><li>Ability to coordinate, analyze, observe, make decisions, and meet deadlines</li><li>May be required to perform other duties as assigned by Leadership Team Member.</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Profee Surgery Coding Specialist

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:The Payer Performance Manager will have healthcare data analytics, informatics and a healthcare revenue cycle background. This role will assist CorroHealth clients in ensuring that payers are paying according to their contract guidelines. This role will also include payer denial analysis, trending and report building. The Payer Performance Manager will work with all areas of Revenue Cycle to ensure reimbursement for the hospital. The analyst will be required to produce weekly reporting on weekly financials and payer issues as well as manage all the payer meetings, including creating the payer agenda, reporting claim issues and working directly with payer representatives for claim resolution. The Analyst will work with CorroHealth proprietary tools to analyze large volumes of hospital data. The role will require various technical data manipulation techniques to analyze large complex data sets, identify data patterns, data mine, etc. Candidates must communicate data trends to Revenue Cycle Leadership as well as Payer Representatives.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL JOB FUNCTIONS: Audit, Analysis and StrategyAnalyze large volumes of hospital data and weekly/monthly reporting&nbsp;&nbsp;&nbsp;Employ various techniques to analyze large complex data sets<ul><li>Data manipulation</li><li>Dana mining</li><li>Identifying data patterns</li></ul>Weekly Revenue Cycle and Payer ReportingCommunications<ul><li>Payer Meetings- (Contracted Insurance Carriers)</li><li>Preparing meeting agenda</li><li>Running Payer meetings</li><li>Following up for any action items related to payer meetings</li></ul>EDUCATION: Some college or equivalent experience, area of study may include:<ul><li>Business, Informatics, Data Analytics</li><li>Finance, Accounting, or a related field</li></ul>EXPERIENCE:<ul><li>3+ years working with data in a healthcare environment</li><li>2+ years working with Government and Commercial payers or equivalent years of experience with payer contracting</li><li>Advanced level proficiency with Microsoft Excel required.</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE<ul><li>Meditech or other EMR experience preferred</li><li>Bachelor’s Degree Preferred</li><li>SQL or other database software experience preferred</li></ul>KNOWLEDGE, SKILLS and ABILITIES <ul><li>Acute attention to detail and strong analytical skills (required)</li><li>Strong understanding of Revenue Cycle, Commercial and Government Payers</li><li>Strong written and verbal communication skills</li><li>Ability to employ critical thinking skills and work independently while also working well within a team environment</li><li>Receptiveness to differing views and ideas with the ability to apply industry-specific concepts</li><li>Highly adaptable to changing circumstances and/or directives in day-to-day priorities</li><li>Ability to perform well on frequent repetitive tasks while continually improving skills and competencies</li><li>Comfortable in faced paced working environment</li><li>Ability to manage and complete short- and long-term projects</li><li>Ability to set and meet deadlines</li><li>Willingness to travel occasionally</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Payer Performance Manager

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:Job Summary Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy Monitor and complete tasks within shared inboxes and internal request dashboards Receive and document incoming emails, calls, tickets, or voicemails Follow up with the client or internal staff via email or phone for additional information as requested Export and upload documents within CorroHealth proprietary system Cross-trained on various functions within the department to support other teams as needed Other responsibilities as requested by management Minimum Qualifications: Must love communicating with others over the phone Computer proficient. Must have intermediate skills with Outlook and Excel. Must be able to schedule meetings, log onto Teams for meetings. Must be able to open a new excel workbook, use formulas such as; adding and subtracting, copying and pasting. Must be able to type a minimum of 25wpm Detail oriented Shows initiative and responsibility in taking the necessary steps towards problem resolution Works independently, but is a team player Able to work in a fast-paced environment Possess good verbal and written communication skills Required to keep all client and sensitive information confidential Strict adherence to HIPAA/HITECH compliance Education/Experience Required: High School Diploma or equivalent required Bachelor’s degree preferred Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines Prior experience of accessing hospital EMR’s and Payer Portals preferred Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting. Must have basic skils in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond ot email and set up folders. Must be able to type a minimum of 25 wpm with a 90% accuracy rate.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Location: Remote within US onlyRequired Schedule: Monday - Friday 8:00 AM - 5:00 PM ESTJob Summary<ul><li>Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination</li><li>Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner</li><li>Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system</li><li>Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy</li><li>Monitor and complete tasks within shared inboxes and internal request dashboards</li><li>Receive and document incoming emails, calls, tickets, or voicemails</li><li>Follow up with the client or internal staff via email or phone for additional information as requested</li><li>Export and upload documents within CorroHealth proprietary system</li><li>Cross-trained on various functions within the department to support other teams as needed</li><li>Other responsibilities as requested by management</li></ul>Minimum Qualifications: <ul><li>Must love communicating with others over the phone</li><li>Computer proficient. Must have intermediate skills with Outlook and Excel.</li><li>Must be able to schedule meetings, log onto Teams for meetings.</li><li>Must be able to open a new excel workbook, use formulas such as; adding and subtracting, copying and pasting.</li><li>Must be able to type a minimum of 25wpm</li><li>Detail oriented</li><li>Shows initiative and responsibility in taking the necessary steps towards problem resolution</li><li>Works independently, but is a team player</li><li>Able to work in a fast-paced environment</li><li>Possess good verbal and written communication skills</li><li>Required to keep all client and sensitive information confidential</li><li>Strict adherence to HIPAA/HITECH compliance</li></ul>Education/Experience Required:<ul><li>High School Diploma or equivalent required</li><li>Bachelor’s degree preferred</li><li>Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines</li><li>Prior experience of accessing hospital EMR’s and Payer Portals preferred</li><li>Proficient in MS Word and Excel. Needs to be able to open a new excel workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting.</li><li>Must have basic skills in Outlook. Should be able to create a meeting invitation, accept a meeting invitation, receive and respond to email and set up folders.</li><li>Must be able to type a minimum of 25 wpm with a 90% accuracy rate.</li></ul>What we offer:<ul><li>Hourly Payrate: $18.27(firm)</li><li>Medical/Dental/Vision Insurance</li><li>401k matching (up to 2%)</li><li>PTO: 80 hours accrued, annually</li><li>9 paid holidays</li><li>Life Insurance</li><li>Short/Long term disability options</li><li>Tuition reimbursement</li><li>Professional growth and more!</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Coordinator, Appeals

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.&nbsp; We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. &nbsp;JOB SUMMARY:JOB SUMMARY: The Insurance Specialist is responsible for review and resolution of outstanding insurance balances on hospital or physician patient accounts. The Insurance Specialist will be required to have flexibility to learning and comprehending complex hospital systems and keen analytical skills to evaluate appropriate next steps to bring aged account receivables to resolution. The Insurance Specialist will be responsible to ensure cash recovery goals are met and assigned hospital receivables are appropriately addressed according to company, client, and federal guidelines.ESSENTIAL DUTIES AND RESPONSIBILITIES:&nbsp; Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.ESSENTIAL JOB FUNCTIONS:Effectively manages assigned insurance receivables to achieve business line expectations &nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<ul><li>Meets productivity standards as outlined by business line</li><li>Achieves a minimum of 85% work quality scoring and accuracy on all accounts worked</li><li>Completes timely follow-up on assigned accounts to ensure no cash loss</li><li>Meets monthly cash expectations as set out for assigned client receivables</li><li>Ensures insurance accounts are resolved within 90 days of placement &nbsp;&nbsp;&nbsp;</li><li>Demonstrates the ability to prioritize work with some oversight to meet outlined goals</li></ul><ul><li>Perform account research and route accounts through appropriate client workflows&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Ability to understand, navigate and perform research of account within client host systems</li><li>Exceptional understanding of patient accounting systems allowing for ease of transition and learning of new systems as needed by business line</li><li>Clearly documents actions taken and next steps for account resolution in patient accounting system</li><li>Excellent working knowledge of Prism system and displays clear understanding of claim updates, request workflow, and action step entry into the system</li><li>Appropriately makes request for documentation based on account needs and compliance guidelines</li><li>Ability to navigate billing system to perform basic claim billing functions</li><li>Clearly prepares appeals for payment to insurance company when appropriate</li><li>Ensure strong communication skills to convey intricate account information</li></ul><ul><li>Ensure all accounts are worked within client standards and Federal Regulations.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain high quality account handling per client standards</li><li>Work within federal, state regulations, department/division &amp; all Compliance Policies&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li></ul><ul><li>Maintain continuing education, training in industry career development&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</li><li>Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections including HIPAA, FDCPA, Privacy Act, FCRA, etc.</li><li>Attend training sessions as directed by management</li><li>Integrate information obtained through training sessions and policy changes immediately into daily routine</li></ul>EDUCATION: High School or EquivalentEXPERIENCE: 1 year experience in a health care receivables environment.MUST HAVE:<ul><li>Excellent oral and written communication skills</li><li>Basic computer skills</li><li>Familiar with widely used patient accounting software</li></ul>OTHER HELPFUL EDUCATION OR EXPERIENCE<ul><li>Organization, planning and prioritizing</li><li>Communication skills</li><li>Data management</li><li>Attention to detail and accuracy</li><li>Problem-solving</li><li>Adaptability and flexibility</li></ul>KNOWLEDGE, SKILLS and ABILITIES <ul><li>Possess excellent reading and writing skills</li><li>Strong Computer skills</li><li>Communicate successfully with patients, hospitals, insurance companies and CorroHealth Employees</li><li>Work individually and as part of a team</li><li>Possess ability to concentrate for long periods of time</li><li>Proficient in numeracy skills</li><li>Pays close attention to detail</li><li>Must possess excellent grammar and spelling skills</li><li>Proficient in knowledge and use of email and internet</li><li>Possess above average knowledge of administrative procedures</li></ul>PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

47 CorroHealth Jobs