Job Purpose:

Provides administrative support to all areas of the Central Business Office, processing claim clearing houses, refunds disbursement, and benefit verification. Completes clerical tasks to support department workflow and organization.

Primary Duties and Responsibilities:

• Reviews and processes rejected claims researching denial cause and redirecting claim for correction and resubmittal

• Handles incoming mail for the central business office involving scanning and distributing appropriately to staff within the central business office and other staff in the organization

• Prepares incoming checks to be deposited that are received through mail or email

• Performs verification of patient eligibility

• Prepares corresponding documentation for refund checks prior to distribution to insurance companies and patients

• Scans work to patient charts and assigns work to corresponding personnel.

• Distributes incoming payments to appropriate processing centers

• Monitor Remedics portal daily at the corporate level to research what is required in order to distribute the items to the appropriate division.

Competencies:

• Service: We align our actions and decision making with the organization’s guiding platform keeping our patients at the center of all we do.

• Change Agent: We support and contribute to positive change in the organization.

• Communication and Interpersonal Relations: We communicate honestly and with compassion to build connections with our patients and each other.

• Effectiveness: We take ownership of work, doing the right thing for our customer and doing it well.

Organizational Culture:

All OrthoIllinois employees focus on service by putting the mission, vision, and value statements into practice and using the guiding principles of Compassion, Respect, Trust, Integrity, Innovation, Education Fiscal Responsibility, Practice Independence, Accountability, and Empowerment to direct their interactions and decision making. Employees promote and model the service standards to create lasting impressions, extraordinary moments, exceptional on-stage experiences, and meaningful and compassionate connections.

Education and Experience Requirements:

• High School Diploma or GED

• A minimum of one year of experience in healthcare in a similar position and/or performing similar tasks

• Working knowledge of Microsoft and Google Suites 

• Previous experience with EMR systems preferred

Environmental/Working Conditions: 

Working environment is in an office/clinic setting.

Physical/Mental Demands:

• Sit, stand, walk, stoop or kneel, crouch or crawl, and climb stairs for long periods of time

• Requires lifting, carrying and/or moving objects in a manner consistent with most office environments (generally, no more than 10 pounds on a frequent basis and 20 pounds on an occasional basis)

• Possess full range of motion in shoulders and arms, including reaching above or below the shoulder

• Finger dexterity; the ability to twist hands/wrists repetitively

• Vision (e.g., depth perception, color vision, strong vision up close), hearing (e.g., high pitch sounds, soft or distant sounds)

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.