Senior Assistant Business Process Services

Job description

·  Job Description:

Summary

Supports the business process services team in delivering efficient and effective outsourced processes and services within a specific industry and functional area to meet objectives and quality standards for clients. Demonstrates business knowledge and skills developed through formal job-related training or work experience. Works within established procedures with a moderate degree of supervision. Identifies issues and all contributing factors in straightforward situations, assesses each using standard procedures, and makes sound decisions.

Essential Job Functions

·  Performs standard, recurring processing and quality tasks in support of outsourced services within a specific industry and functional area. Demonstrates knowledge and skill in assigned work processes.
·  Develops understanding of the client's business and applies knowledge to support efficient procedures and adherence to service level agreements. Contributes to problem identification and resolution.
·  Interprets, audits and reconciles reports for accuracy or completeness. Prepares and maintains standard reports for management and clients.
·  Handles company confidential data according to policy and guidelines. Adheres to existing security policies and procedures.

Description

·         Responsible for answering 50-80 calls per day 

·         Assists physicians, hospitals and clinics with medical claim submission procedures for the CMS 1500 & UB 04 claim forms 

·         Assists physicians, hospitals and clinics with completion of provider enrollment applications 

·         Provide explanation of claim payment questions 

·         Responsible for escalating complicated claim questions 

·         Provider support for Web based applications & EDI claim submission 

Qualifications

  

Education and Experience Required:

·         High school education or equivalent. 

·         Typically requires 1-3 years general experience, or equivalent combination of experience and college level education. 

  

Knowledge and Skills:

·         Medical Billing Experience 

·         Superior communication skills both written and verbal 

·         Excellent customer service skills, active listening skills, and proper phone etiquette 

·         Ability to multi-task 

·         Computer proficiency, including use of web applications & Microsoft suite 

·         Problem solving skills 

·         Accuracy in data entry 

·         Familiarity with computer technology 

·  ·         Oversee compliance with operating procedures and standards