What are the responsibilities and job description for the Centralized Services Specialist I position at Maxim Healthcare?
Centralized Services Specialist
Location: Columbia, MD
Hourly Rate: $21.00 per hour $2,000 Annual Bonus Potential
The Centralized Service Specialist I reviews and processes Insurance Verification Forms, Physician Licensure requests, Authorizations and Orders and provides customer support to the Billing Teams and offices
Essential Duties And Responsibilities
Health and Wellness
Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program
Retirement And Financial Security
Employee Assistance Program, Health Savings Account, 401(k) Company Match, Profit Sharing, Short and Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death & Dismemberment Insurance, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance discounts, Pet Insurance and Legal benefits
Lifestyle Benefits
Paid Time Off and Company Paid Holidays, Transportation Benefits, Educational Assistance Program, College Partnership Program and Employee Discount Program
Maxim Healthcare has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Maxim Healthcare, Inc. (“Maxim”) is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
Location: Columbia, MD
Hourly Rate: $21.00 per hour $2,000 Annual Bonus Potential
The Centralized Service Specialist I reviews and processes Insurance Verification Forms, Physician Licensure requests, Authorizations and Orders and provides customer support to the Billing Teams and offices
Essential Duties And Responsibilities
- Accurately enters and/or processes:
- Authorizations within 24 hours of Vision upload and before close of business on Tuesday for uploads that impact payroll
- Processes 485/Supplemental Orders within 48 hours of Vision upload
- Processes F&D within 48 hours and on Tuesday process any that would potentially impact payroll
- Addresses and/or resolves authorization/order tickets with 24 hours of submission
- Completes Insurance Verification forms within 24 hours of submission
- Assists/obtains all authorizations (initial and re-authorizations) for designated offices
- Re-authorizations should be obtained prior to the next authorization period
- Runs monthly eligibility for identified payers
- Works bill holds for: Authorizations and 485/Supplemental Orders
- Striving for no revenue to be on-hold for lack of authorization for purposes of cash flow and minimizing risk
- Works new Zero Bills by 12pm Thursdays and outstanding Zero Bills timely
- Continuously adds/updates information on payer site
- Enters physician information into Vision within 24 hours and imports new physicians into Echo monthly
- Provides excellent customer service for our office partners, patients, and payers
- Follows all quality processes for department to avoid preventable write-offs
- Performs other duties as assigned
- High school diploma or equivalent
- Experience in medical billing or authorizations preferred
- Quick and accurate alpha/numeric data entry skills
- Must possess the following core competencies:
- Excellent customer service skills
- Attention to detail
- Time management/organizational skills
- Ability to learn on the fly
- Excellent work ethic and commitment to job responsibilities
- Proficiency in Microsoft Office, including working knowledge of Microsoft Word/Excel and Web enabled applications
- Must present a positive image that reflects well on the organization
Health and Wellness
Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program
Retirement And Financial Security
Employee Assistance Program, Health Savings Account, 401(k) Company Match, Profit Sharing, Short and Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death & Dismemberment Insurance, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance discounts, Pet Insurance and Legal benefits
Lifestyle Benefits
Paid Time Off and Company Paid Holidays, Transportation Benefits, Educational Assistance Program, College Partnership Program and Employee Discount Program
- Benefit eligibility is dependent on employment status.
Maxim Healthcare has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Maxim Healthcare, Inc. (“Maxim”) is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
Salary : $2,000