Cardon Outreach works tirelessly to reduce the financial burden of medical costs on Americans and on the healthcare providers who serve them. Our work makes a positive difference to thousands of people and hundreds of hospitals and clinics, in communities all over the nation, every day.
We are seeking a Team Lead to work in our Spokane, WA regional office.
The Team Lead performs the role of a Reimbursement Specialist while also mentoring peers and performing additional administrative tasks or communication with clients to ensure effective functioning of the operation. The Team Lead serves as a liaison to other team members, hospital staff, and governmental or other payer agency staff to facilitate eligibility processes. This individual is an advocate for both patients and hospital clients by working to ensure that patients are covered appropriately and hospitals receive the reimbursement to which they are entitled.
Reviews and researches accident claims to determine possible payment sources.
Contact various sources including patients, adjusters and other insurance professionals, attorneys and other parties to verify relevant data.
Coordinates with appropriate client personnel to ensure appropriate filing guidelines are met for reimbursement.
Requests appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition.
Maintains and updates proper account documents in Optima system
Performing aggressive follow upon unresolved claims and facilitates payment from appropriate payers
Makes written or verbal appeals to payers on denied claims.
Skills / Requirements:
Ability to communicate effectively verbally and in writing and be able to speak professionally with patients, attorneys and insurance adjusters.
Proven ability to be assertive in order to proactively resolve issues.
Demonstrate ability to organize and set priorities according to situation al demands.
Prefer 3-5 years of related experience in hospital business offices and/or claims adjusting or Third Party Liability experience
Excellent customer service skills
Working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications.
Must be able to type at least 50 wpm
Bachelors degree desirable.
Cardon Outreach - 12 months ago
Cardon Outreach has been successfully providing unique Services and Technology Solutions to healthcare facilities throughout the country...