Job Details

Bargaining Unit: EA

Rate of Pay: $25.78/hour + DOE

Summary
Supports Tahoe Works manager and case manager in a variety of office/ administrative tasks related to billing and collection of specialty accounts, maintaining contractual agreements, following up with patient referrals, assists with non-clinical aspects of case management and patient navigation and maintains/ builds relationships with employers including promotional material and outreach.

Essential Duties and Responsibilities

• Identifies problem accounts with payors; investigates and corrects errors; follows-up on missing account information; and, resolves past-due accounts accordingly through use of correspondence, email and telephone contact.
• Contacts payors (employer or insurance carrier) regarding insurance clarification or to set up payment plan to clean account. Coordinates and/or processes records and information related to billings
• Processing and monitoring of contractual agreements. Follow-up with employers and maintains a positive relationship/ customer service with employer contacts.
• Assists Manager with employer accounts and contract issues. Tracks payments received from insurance and/or employer account payors.
• Analyzes transactions and corrects company records to adjust errors. Researches and processes refunds
• Maintains complete special account billing history records. Prepares reports to identify and resolve accounts receivable issues and to assist with overall clinic volume reporting.
• Direct contact for specialty patient accounts and facilitates establishment of retail accounts within the health system. Works with contacts outside of the department to verify information needed to process bills.
• Processes month end EMR reports and for the accounting office and maintains history online
• Assists Case Manager with patient referrals and helps navigate patients to referral services.
• Assists Case Manager with resource coordination and referrals management.
• Assists Case Manager with all non-clinical aspects of case management.
• Assists with promotional material and outreach to employers including newsletters and ongoing communication.
• Demonstrates System Values in performance and behavior.
• Complies with System policies and procedures.
• Other office and clerical duties assigned.
• Assists other team members needed.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervisory Responsibilities
No supervisory responsibilities.

Minimum Education/Experience
Associate's Degree or equivalent from two-year college or technical school or 6 months to 1 year relevant experience

Required Licenses/Certifications
None

Other Experience/Qualifications
Required:

• Knowledge of medical terminology
• Knowledge of workers' compensation system and billing requirements
• Interpersonal/human relations skills
• Verbal and written communication skills
• Customer service skills
• Ability to work in a fast-paced environment and remain detail oriented
• Ability to respond to questions in a tactful and professional manner
• Ability to maintain confidentiality
• Ability to maintain accuracy
• Ability to interpret accounts and records

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.