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Medical Insurance Specialist in Hendersonville at Parallon

Date Posted: 2/27/2019

Job Snapshot

Job Description

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