Research Specialist
Omnicare 809 reviews - Cincinnati, OH

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Job Summary: A Research Representative is responsible for timely and effective review and resolution of accounts in which insurance has been determined to be the best source of resolution, using the support framework designed. i.e.: learning policy and procedure for accessing letters, sources of needed information and scheduling requirements to achieve successful recovery while displaying a professional manner, offering solutions and suggestions for process improvements and working closely with Management to exceed rebill goals.

Key Responsibilities:
  • Effective and efficient resolution of patient account balances within prescribed company guidelines and policies via:
  • Direct contact with customers by phone regarding past due invoices employing skills that result in the effective resolution of accounts by means of verifying or obtaining insurance information, while demonstrating working knowledge of insurance billing processes and procedures.
Contact with internal and external partners to resolve past due patient accounts.

Some cash collection on past due patient invoices.

Retrieving copies of invoices and sending them via e-mail, fax or mail for account resolution.

Thorough and accurate documentation of resolution efforts.

Adding, changing and deleting information in the file screens (update addresses, phone #s, and insurance information).

Utilizing all online tools to effectively work the portfolio assigned. (ARM, Lexis Nexis, 411.com, Searchbug, White Pages.com, Oasis, DX, SSDI, NETRONLINE, Emdeon Office, various state Medicaid websites, Iastral, et al)

Managing online payments.

Identifying and communicating issues to Management and/or appropriate team members and making recommendations for quick resolution thereof.

  • Other duties as assigned by Management.
Minimum (Required) Qualifications:
Minimum of an Associate’s degree or 3-5 years of relevant experience is required. Extensive knowledge of the healthcare industry is required. Knowledge and experience of specific responsibilities will most typically be attained on the job; however working knowledge of Medicaid, Medicare & third party insurance is also required. Candidate must possess intermediate level knowledge of Microsoft Office applications.

Candidate/incumbent must possess excellent customer service, listening, and communication skills and be able to persuade and negotiate with customers. Candidate/incumbent should be able to work independently and be able to understand and carry out detailed instruction. He/she should be able to interact with staff from multiple departments. Ideal candidate will apply skills in collection/resolution of accounts. Candidate must demonstrate a good knowledge of all administrative and specialized functions in the Department, and possess a sound understanding of the Company's organizational structure. In depth experience with documentation and research/reconciliation as it relates to pharmaceutical account billing is required.

Candidate/incumbent should be attentive to detail, results driven, flexible, organized and open to suggestions. He/she must be able to work concurrently on several projects, each with specific instructions that may differ from project to project. Candidate/incumbent should have strong problem solving skills and the ability to work as a team player within the Corporate Collections Department as well as all other areas of the organization.

Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day. May sit or stand seven (7) to ten (10) hours per day. Occasionally may be required to work extended hours on an as needed basis. Finger dexterity to operate office equipment required. Employee may be required to lift objects weighing up to twenty-five (25) pounds on occasion. Must possess visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus. Employee must be able to hear normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role.

Full benefit package and free parking.
Work Environment: Work in a climate-controlled, smoke-free internal environment.

Requirements

Minimum (Required) Qualifications:
Minimum of an Associate’s degree or 3-5 years of relevant experience is required. Extensive knowledge of the healthcare industry is required. Knowledge and experience of specific responsibilities will most typically be attained on the job; however working knowledge of Medicaid, Medicare & third party insurance is also required. Candidate must possess intermediate level knowledge of Microsoft Office applications.

Candidate/incumbent must possess excellent customer service, listening, and communication skills and be able to persuade and negotiate with customers. Candidate/incumbent should be able to work independently and be able to understand and carry out detailed instruction. He/she should be able to interact with staff from multiple departments. Ideal candidate will apply skills in collection/resolution of accounts. Candidate must demonstrate a good knowledge of all administrative and specialized functions in the Department, and possess a sound understanding of the Company's organizational structure. In depth experience with documentation and research/reconciliation as it relates to pharmaceutical account billing is required.

Candidate/incumbent should be attentive to detail, results driven, flexible, organized and open to suggestions. He/she must be able to work concurrently on several projects, each with specific instructions that may differ from project to project. Candidate/incumbent should have strong problem solving skills and the ability to work as a team player within the Corporate Collections Department as well as all other areas of the organization.

Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day. May sit or stand seven (7) to ten (10) hours per day. Occasionally may be required to work extended hours on an as needed basis. Finger dexterity to operate office equipment required. Employee may be required to lift objects weighing up to twenty-five (25) pounds on occasion. Must possess visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus. Employee must be able to hear normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role.

Full benefit package and free parking.

About this company
809 reviews
Omnicare, Inc., a Fortune 400 company based in Cincinnati, Ohio, provides comprehensive pharmaceutical services to patients and providers...