Provider Assignment Clerk

Job Description

REQUIREMENTS

• Ability to work at a fast pace and maintain a high concentration level with accuracy working in multiple system platforms.
• Ability to work independently with minimal supervision, to work under pressure, and to work under deadlines.
• Excellent organizational skills.
• Excellent time-management skills.
• Ability to troubleshoot in an electronic environment.
• Computer keyboarding skills and experience with MS Office
• Knowledge of coding principles and guidelines, preferred.
• Knowledge of insurance payer guidelines, preferred.
• Strong organizational and interpersonal skills
• Excellent written and oral communication skills.
• Excellent analytical skills
• Proficient in Microsoft Office applications including Word and Excel.
• Ability to prioritize workload, to meet deadlines and to maintain a high level of quality and accuracy

RESPONSIBILITIES

• Monitors monthly closing schedule to ensure all provider assignment/sequencing reviews are completed 1 day prior to the month-end date
• Run reports for the verification process for each dataset on a weekly or bi-weekly basis.
• Review reports to determine accuracy in provider assignment/sequencing per client or payer guidelines.
• Reviews reports to validate location and POS accuracy of billed services associated with provider assignments.
• Distributes coder trends or quality findings to the appropriate coding workflow team to educate the coder and track accuracy.
• Makes provider assignment and/or sequencing corrections in billing platform or other system(s).
• Participates in company meetings.
• Provides status reports to Operations Manager as requested.
• Complies with all internal policies and procedures.

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