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Medical Insurance Specialist in Hendersonville, TN at Parallon

Date Posted: 5/2/2019

Job Snapshot

Job Description

Description

SHIFT: No Weekends

SCHEDULE: Full-time

Parallon believes that organizations that continuously learn and improve will thrive. That’s why, after more than a decade, we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services.  Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

 

JOB TITLE: VA Specialist

GENERAL SUMMARY OF DUTIES - Responsible for all aspects of VA receivable processing, including but not limited to, billing, collection, account and system maintenance, process reconciliation, and productivity reporting.

SUPERVISOR - Manager of VA Operations

SUPERVISES – None

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

• Maintains current knowledge of all office operations, job specific requirements and related regulations.

• Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information.

• Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer.

• Reviews, makes corrections to, and insures the legibility of outgoing secondary bills, and other correspondence before sending.

• Handles all incoming phone calls and inquiries in an appropriate manner.

• Properly processes and responds to incoming correspondence.

• Contacts and effectively communicates with all parties involved in the resolution of accounts placed.

• Completes work request timely and in accordance with instruction.

• Performs all of the task necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold).

• Forwards and logs all documentation related to processes and duties which are transferred to other employees.

• Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’s attention daily.

• Exercised good judgment and makes sound decisions in the absence of detailed instructions or in an emergency situation.

• Treats client request with a high priority. Quickly informs supervisor and any other personnel needed to help carry out the request timely, accurately, and according to instruction.

• Strives to improve current operations by identifying inefficiencies and recurring problems, and by making suggestions to the immediate supervisor.

• Adapts and conforms to company and client requirements not specified in this job description/performance review.

• Promotes the Medicare Service Center and helps to identify the necessary resources to meet the needs of its customers.

• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”

• Other duties as assigned

KNOWLEDGE, SKILLS & ABILITIES

• Familiarity with VA regulations.

• Knowledge of UB-04 billing.

• Knowledge of ICD-10 and CPT coding.

• Analytical and organizational skills.

• Ability to identify, set, and follow priorities.

• Knowledge of hospital business office operations.

• Strong PC and data entry skills.

• Ability to communicate effectively with employees, clients, and others.

• Character to maintain strict confidentiality.

EDUCATION

• High school graduate or equivalent

EXPERIENCE

• VA claim processing experience preferred

CERTIFICATE/LICENSE - N/A