Error Processing Representative (Synergy)

General Summary: A full-time position responsible for troubleshoots routine front-end billing opportunities such as clearinghouse rejections billing system edits order entry and exception management. This team member will research translate and analyze demographic data to ensure prompt payment from customers and resolve systems issues from daily reports to determine appropriate resolution action.

Essential Job Responsibilities:

The Error Processing Representative is responsible for:

• Accurate and timely claims submission and resubmission to Third Party Payers and affiliates including their HMO PPO Medicare Advantage Medicaid MCO and the new healthcare exchange products.
• Responsible for resolving pre-bill edits denials etc. for assigned accounts.
• Make corrections and rebill as appropriate to maximize billing and reimbursement processing.
• Establish an excellent relationship with payers clients and internal staff.
• Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes.
• Adhere to MAKO policies including attendance and punctuality.
• Adhere to confidentiality (HIPAA) requirements.

Education:

• High school diploma or equivalent
• Bachelors degree preferred

Experience:

• Minimum 1-2 years of experience in the billing industry required
• Excellent verbal and written communication skills
• Laboratory billing experience preferred
• Strong analytical and problem-solving skills
• Ability to organize prioritize and manage various work assignments in a timely fashion
• Telcor experienced strongly preferred

Quality Standards:

• Team player who will lead by example and promote a positive work culture when partnering with internal/external business partners.
• Demonstrates initiative personal awareness professionalism and integrity and exercises confidentiality in all areas of performance.
• Follows all local state and federal laws concerning employment including but not limited to I-9 Harassment EEOC Civil rights and ADA.
• Follows OSHA regulations and site protocols policies and procedures.
• Follows HIPAA compliance privacy safety and confidentiality standards at all times.
• Practices universal safety precautions.
• Promotes good public relations on the phone and in person.
• Adapts and is willing to learn new tasks methods and systems.
• Reports to work regularly as scheduled; consistently punctual with respect to working hours meal and rest breaks and maintains satisfactory personal attendance in accordance with guidelines.
• Consistently adheres to time management policies and procedures.
• Completes job responsibilities in a quality and timely manner.

Required Experience:

Unclear Seniority