Claims Representative CBO

Responsibilities:

• Responsible for verifying patient coverage information and updating patient coverage records in Epic through working the assigned work queues.
• Prepares and submits claims to carriers and intermediarie: assures attachments are submitted in accordance with contractual requirements and departmental policy.
• Develops and maintains knowledge of billing requirements of third-party insurance carriers to ensure accurate claim submission.
• Maintains certification to use all applicable functions in the Epic Billing System, specifically those related to Claims and Registration.
• Effectively utilize all electronic tools available to verify insurance information and resolve incorrect claims. (Hdx, Navinet, etc.)
• Meets and strives to exceed the productivity measurements as set forth by the PBO senior leadership.
• Complies with the standards set forth in the payers in a timely and professional manner.
• Acquires and maintains a working knowledge of how to optimize use of the Epic System.

Education and Experience:

• High School Diploma or GED (Required).
• 1+ year of Accounts Receivable experience (Preferred), preferably in a physician practice, hospital, or medical facility.
• Experience working with third party payers (Required).

Skill Requirements:

• Proficiency in using a computer and familiarity with computer applications (Required).
• Experience using Microsoft Office Excel, Word and Outlook (Preferred).
• Knowledge of computerized billing systems, such as Epic, (Preferred).