The Support Specialist provides support to both the Government and Commercial Medical Billing and Accounts Receivable Representatives to ensure billing accuracy and increase collections.
Duties & Responsibilities
- Utilizes various hospital/physician systems to verify patient, billing and claim information for accuracy.
- Retrieves medical records through various systems.
- Submits Medical records through hardcopy submission or via payor portal.
- Reviews and disseminate Correspondence received to appropriate Colleagues.
- Processes returned mail.
- Scans and print images.
- Prints and submission of hardcopy claims received from multiple units.
- Responds timely to emails and telephone messages as appropriate.
- Communicates issues to management, including payor, system or escalated account issues.
- Participates and attend meetings as requested, training seminars and in-services to develop job knowledge.
- Maintains and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure.
- Supports client /internal processes.
- Monitors office supplies and communicate to supervisor/admin for ordering.
- Supports the company Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to Savista business practices. This includes becoming familiar with Savista Code of Ethics, attending training as required, notifying management or the company Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligation
Qualifications:
- High school diploma or GED.
- 6+ months of experience in a clerical role or certification in medical billing or medical coding acquired within the last two years.
- 2+ Years EPIC knowledge
- At least 6 months direct experience working in Epic’s billing modules (Epic Resolute PB or Epic Resolute HB)
- 2+ Years US Healthcare Accounts Receivable Knowledge
- 2+ Years US Health Insurance billing, posting, and adjusting claims
- 2+ Years working with Explanations of Benefit forms, Insurance Adjustments, and Self-Pay Billing
- Demonstrated ability to navigate Internet Explorer and Microsoft Office.
- Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
- Proven time management skills.
- Ability to handle sensitive information and maintain HIPAA compliance.
- Must be willing to work onsite in Ortigas, Pasig City.
