Data Entry/Research Specialist for New Business

Description

Position Summary

Responsible for manually loading new client referrals for all areas of the Company. Works the new accounts received via the accident program referral files. New Business is responsible for reviewing the account from the client’s past perspective, updating information into FACS and applying that detail into CBS procedures to move the account forward in the collection process. The new business representative is responsible for making sure all procedures are followed as outlined in the maintained work instruction documents for the program outlined.

Supervisor

Billing Manager

Department

CBS New Business

Essential Duties of the Position

• Enter paper loads manually into FACS.
• Enter and/or complete missing insurance information in FACS from the client systems on manual and electronic loads from new business queues 1003 and 2000.
• Correct patient/RP demographic information
• Verify all insurance information is entered from the client system
• Verify all auto insurance information with the carrier to evaluate if Med pay or Bodily injury
• Verify Medicaid eligibility for all patients and check for Medicare for appropriate age demographics.
• Move accounts to the appropriate status in FACS based on the information received/gathered at list.
• “Don’t haves” from A/R
• Manually loading accounts as needed per the clients request.
• Monitor volume and wait dates in all new business queues
• Monitor manual loads, “don’t haves”, volume and wait date

Responsibilities of the Position

• Over 15 K accounts worked as assigned by manager
• Urgent billing emails as assigned by manager
• Check eligibility
• Make calls to insurance companies to check eligibility and verify the claim submission file limit
• Check eligibility on Passport and insurance websites.
• Verify workers compensation information
• Keep supervisor updated on significant issues that may be discovered in regards to certain payers or suggestions of how we can improve processes.
• Meet deadlines for account review, completion of spreadsheets at the request of management.

Requirements

Requirements of the Position

• Computer proficiency skills are required
• Ability to learn quickly and navigate effectively through multiple systems
• Excellent verbal and written communication skills
• Ability to work in fast-paced, changing environment
• Must be flexible and adaptive to change in order to support operations
• Demonstrates attention to detail and organization
• Must have the ability to perform repeated tasks with a high level of accuracy
• Must have working knowledge of HIPAA, FDCPA, and Red Flag regulations
• Must be organized, detail oriented, and flexible.
• Must have the ability to perform repeated tasks with a high level of accuracy.
• Must have working knowledge of CBS policies and procedures.
• Must have working knowledge of HIPAA and Red Flag regulations.
• Must possess a thorough understanding of Complete Billing Services employee handbook as well as policies & procedures surrounding all related functions.

Difficulty of Work

Work activities are performed independently, utilizing basic guidelines as standards of performance. The incumbent must deal with a variety of reports, documents, and computer systems, and must utilize good judgment in carrying out job duties. Advice and guidance may be sought from the department’s Manager as warranted to ensure the provision of quality service.

Responsibility

The incumbent works in a team concept, but will need to be able to work accounts on his/her own. Accounts are randomly checked for training purposes. Errors may be caught, but not immediately. Work is somewhat independent in nature. The incumbent makes a substantial impact on the processing of the account based on actions completed.

Personal Work Relationships

Incumbent works with colleagues, team leads, supervisors and management staff.