Description To provide daily assistance to the Document Review Manager/Supervisor. Has the ability and knowledge to provide training and support for Document Review staff. Assist in administration of day-to-day operations. Identify and report job performance shortfalls. Ensures customer expectations are met. Reviews client orders according to insurance guidelines to ensure accurate billing and reduce denials.
Main Job Tasks and Responsibilities
Receives batches from clients to ensure Medbill has received all orders from the client Organizes the batch coversheets to use as receipts for the client Prioritizes orders to review based on set guidelines from supervisor Gives priority to document review specialist, ensures work is being completed in order. Review and interpret insurance policy guidelines as it relates to the orders to review for the clients Correctly code the orders for either data entry or billing confirmation Communicate with clients on possible issues with orders Work with client to arrive at acceptable changes that can be made to orders to bill Communicate to client about the completed or actioned orders Work with Billing and Accounts Receivable staff on resolving billing issues before submitting claims Work with Billing and Accounts Receivable staff on finding error trends and client issues to be reported back to the client Track time spent on each client daily Track employee progress by checking batched and confirmed orders daily Provides feedback for team members’ performance appraisals to management. Maintains efficient workflow by holding team mates accountable for quality and efficiency of their work Train new employees and assist other staff with more difficult orders Review document review specialist orders for accuracy before confirmation Other duties as assigned Requirements Education and Experience
Minimum Medical Billing Certificate/Diploma, Bachelor’s Degree preferred 3 years of DME medical billing or equivalent experience Extensive knowledge of all insurance payer guidelines Ability to complete orders for all clients Knowledge of regulatory standards and compliance requirements Customer service experience Billing and AR knowledge
Key Competencies
Extreme attention to detail Excellent verbal and written communication skills Reading comprehension and critical thinking skills Represents Medbill in a positive manner Organizational skills Self-motivated with abilities to work well in a team Supervisor experience and/or training Salary Description $18.00/hr
This position is primarily focused on Navia’s client elections and import processes queues. They will act as a subject matter expert in their day-to-day activities and help staff with misc. projects.
Essential Functions
Monitor Administration emails/Salesforce queue cases and respond within 24 hours.
Manage Triage hours; respond same day.
Pull file receipts into import inbox.
Pull election forms into Laserfiche.
Work with internal partners, brokers, and clients to resolve file issues/discrepancies.
Reaching out about file issues; saving correspondence
Other duties/projects as assigned individually or as a team.
Qualifications
Demonstrated Ability to work independently.
Able to mentor other team members.
Above average Excel skills (data manipulation)
Self-Motivated work style
High attention to detail
Strong written and verbal communication skills.
Approach all tasks with a customer service attitude.
Location-This is a remote
Salary-$18.00
Remote jobs are only available in the following states: AZ, CA ,CO, FL, GA, HI, IL, IN, KS, MI, MN, MO, MT, NC, ND, NE, NJ, NV, NY, OH, OR, PA, TN, TX, UT, AND WA
Symbria Rx Services is seeking a team oriented, experienced Data Entry Technician who shares our commitment to ensuring the health and wellness of seniors. As one of the few 100% employee-owned companies in healthcare, our business practices are guided strictly by the values to which our employee owners are committed to. For more than 20 years, Symbria has been providing an outstanding work environment for talented employees to deliver patient-centered care to the geriatric population in senior-living and post-acute settings.
Position Summary
The primary purpose of this position is computer data entry of prescription orders and medical records.
Work Schedule:
4PM-1230AM Monday-Friday, every other weekend 3PM-1130AM FWLTC Experience required, Docutrack preferred
Must currently live in a state Symbria Rx Services is licensed in:
AZ, CO, IN, FL, KS, MA, MI, MO, OH
Responsibilities Contact physician’s office as needed for refill authorization. Contact client for verification of orders as needed. Process all new and refill prescriptions. Open orders as needed, verify eligibility, proof and input prescriptions while maintaining productivity and quality standards. Document correspondence and follow up in the system. Prepare audit sheets and provide feedback to manager. Forward incomplete or rejected scripts to appropriate department for resolution and track status in the system. Initiate and document correspondence and follow up in system. May assist with research of lost or missing orders per internal department requests. May provide backup support to other pharmacy groups based on business needs or production levels. Answer incoming calls promptly and provide high standard of customer service to the client. Qualifications High School diploma or general education degree (GED). Pharmacy Technician License and/or Certification (CPhT) as per State requirements. General computer knowledge including Microsoft Office: Word, Excel and Outlook. Excellent customer service, interpersonal, verbal and written communication skills. Work collaboratively with other team members and manager to ensure that best practices are shared. Must be able to work weekends, holidays and alternate shifts for PTO/staffing coverages as 24/7/365 operational needs dictate. Qualifications Preferred
Pharmacy data entry experience; minimum one year. Strong knowledge of Brand/Generic drugs and medical terminology.
Why work at Symbria?
100% employee-owned company through an Employee Stock Ownership Plan, also known as an ESOP. You, along with your co-workers, have an ownership stake in this company! Competitive compensation ESOP retirement plan 401(k) & Roth 401(k) plans Employee Assistance Program Full-time employees are eligible for medical, dental, vision, life insurance, short/long term disability, flexible spending accounts (FSA), Paid Time Off (PTO) and Yearly Tuition Reimbursement. Symbria does not discriminate for any reason. We welcome talent who believes in our mission, drives the organization forward and cares about the value they bring to an organization.
We are a part of the American Library Association and our reviews serve a specific purpose: guiding school and public library workers in purchasing and suggesting books.
Booklist reviews are “the haiku of book reviewing,” brief but impactful. In 150-175 words, our lively reviews place each work in context, provide a synopsis of plot and other appeal, suggest the ideal audience, and offer readalikes.
Booklist is a recommendation-only journal; every book we review is recommended for purchase in a library setting because of the content, the potential popularity, or other compelling collection development metrics. It’s crucial to keep this in mind when writing and submitting your review. If you don’t personally love a book but understand how some reader out there likely will, your review can help a librarian put that book in the hands of its ideal reader.
Who can review for Booklist
Because our audience is school and public library workers, Booklist seeks reviewers who are familiar with both books and libraries. A library degree is not required.
We hold ourselves to exceptionally high standards in order to provide unparalleled service to healthcare professionals, their staff and patients. We strive to end each workday knowing that we’ve made someone’s life better.
Our team is comprised of courageous and caring healthcare warriors. We’re here to solve the impossible problems, such as reducing medical errors, saving patient lives, and empowering physicians to stay financially independent. We care deeply about making a big impact and we are relentless.
Inspired to grow the company and our careers, we remain committed to daily discipline, self improvement, and a ceaseless search for solutions.
We equally value our work and our life apart from work. We’re compelled to work with urgency, decisiveness, and efficiency in everything we do. This affords us freedom and time for things that matter most.
Leaders at pMD are developed through our mentorship program. Investing in the success of each individual strengthens our team and builds loyalty. We believe in leading by example. Everything one does ripples outward. Therefore, we need each individual at pMD to embody our leadership principles to thrive as an enduring great company.
(Contract) Medical Payment Posting Specialist
(Contract) The Medical Payment Posting Specialist role at pMD helps our team and our customers reach our business goals through accurately posting collected medical insurance payments and patient payments expeditiously.
Responsibilities include:
ensure all payments are correctly entered against accounts receivables (this includes electronic remittance advice explanation of benefits, and patient payments)
charges are transferred to patient responsibility as appropriate
denied balances are moved to a hold status for research and resolution
balances are accurately reassigned to the next payer source
posting is marked completed in the task assignment management system
confidentiality is maintained of all patient records
Requirements include:
1 year billing experience
must have experience in posting medical insurance payments
must be able to work independently in a fast-paced environment
exceptional attention to detail
must currently have or be willing to register a business per independent contractor guidelines
reside in the U.S.
The compensation model for this role is designed to pay on a per-unit of completed work basis. Payment is $0.34 per line item posted. Our specialists typically post an average of 65 line items per hour, but the choice is yours!
There are no minimum requirements for working hours or hours per day for this position. Work is available on a first come, first serve basis, and you have complete flexibility on how many encounters you want to review based on your free time and to meet your compensation goals.
We are only accepting applications through our online job portal, Lever. We aren’t able to consider and respond to other types of applications, including those sent via email to pMD support, at this time. Please direct application status questions to [email protected].
Candidates must be authorized to work in the U.S. as a precondition of employment.
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