Shared Services Representative

SuperCare Health; Roseburg (OR); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical

Vision

Flexible Savings Account

401K

Voluntary Life Insurance

Paid Training

Paid Time Off

Sick Time

Employee Referral Reward Program

Employee Discount Program

Job summary

Rick's Medical Supply, Inc. in Roseburg, OR is hiring a Shared Services Representative to coordinate claims posting and work with outsourced resources. You will ensure timely submission of claims, maintain payer documentation, and reconcile posting batches daily under the Shared Services Manager.

Ideal candidates have familiarity with insurance company rules and excellent communication skills to support internal teams and external payers. Some paid training and benefits accompany this role.

Qualifications

• Familiarity with current rules and regulations of insurance companies.
• Excellent communication and customer relations skills.

Responsibilities

• Primary point of contact with outsourced resources for claims and posting tasks.
• Communicate with all parties any updates to policy and procedure concerning claims, posting, and mail.
• Maintain and update weekly stats for Manager
• Create and maintain a binder with all payer requirements to ensure documentation exists for each payer as applicable.
• Work with internal and external entities to ensure all claims are being submitted timely and correctly
• Work with payers as needed to get them converted from paper to EDI, where applicable
• Monitoring the batches in piggy for manual and pending posting batches
• Allocate the work assigned to the outsource team
• Responsible for daily reconciliation of batches created to posted batches, reporting to manager daily on outstanding balances.
• Troubleshoot missing EOB’s from payment batches to obtain and resolve, per policy
• Performs other duties, as assigned

Skills

Insurance knowledge

Customer communication

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Shared Services Representative

RCM-Payment Posting Full Time Roseburg, OR, US

10 days ago Requisition ID: 1198

“Improving the lives of those with chronic care diseases while providing solutions to our customers.'

Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying.

Under the general supervision of the Shared Services Manager, the Shared Services Coordinator is responsible for working with all parties inside SuperCare Health and all outside vendors to ensure that tasks assigned are completed in the time frame allotted and to the quality expectation given and to the expectation of SuperCare Health.

Responsibilities:

• Primary point of contact with outsourced resources for claims and posting tasks.
• Communicate with all parties any and all updates to policy and procedure concerning claims, posting, and mail.
• Maintain and update weekly stats for Manager
• Create and maintain a binder with all payer requirements to ensure documentation exists for each payer as applicable.
• Work with internal and external entities to ensure all claims are being submitted timely and correctly
• Work with payers to as needed to get them converted from paper to EDI, where applicable
• Monitoring the batches in piggy for manual and pending posting batches
• Allocate the work assigned to the outsource team
• Responsible for daily reconciliation of batches created to posted batches, reporting to manager daily on outstanding balances.
• Troubleshoot missing EOB’s from payment batches to obtain and resolve, per policy
• Performs other duties, as assigned

Work Experience Requirements:

• Familiarity with current rules and regulations of insurance companies
• Excellent communication and customer relations skills

• Medical
• Vision
• Flexible Savings Account
• 401K
• Voluntary Life Insurance
• Observed Holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day.
• Paid Training
• Paid Time Off
• Sick Time
• Employee Referral Reward Program
• Employee Discount Program
• Compensation dependent on experience & qualifications with a range of:

Anyemployment proposal iscontingent upon satisfactory completion of:Background Check,Reference Check(s),Driving Record (if applicable),Pre-employment Drug and TB Tests

What Rick's Medical Supply is About

We treat our customers like family. Rick's Medical Supply, Inc. has been the source for medical supplies and equipment in the Roseburg, OR area for over forty years because of our superior commitment to provide you with the absolute best in product quality and customer service. Our highly trained staff will help you make the best choices for your needs, while providing you with friendly service and expert advice. Every effort is made to ensure that your experience is as pleasant and efficient as possible. Stop by and see us! Our business is your good health.

Company Business Hours - 8:30 AM – 5:30 PM PST