Seeking experienced Document Specialist for a reputable hospital
Candidates in this role will be taking incoming faxes (electronically) and determining where they are to be routed to. These are primarily from various physician offices.
Responsibilities:
Receives alerts regarding clinical benefits from Patient Financial Navigation and/or Care Coordinators that benefits are inaccurate, exhausted, and/or denied based on previous insurance payer plan knowledge or lack thereof. Communicates to appropriate department regarding the reevaluation process of possible insurance benefits.
Demonstrates understanding of tracking and documenting in the appropriate computer operating systems. Demonstrates the ability to understand and interpret insurance and billing procedures related to the insurance process within the Utilization Management dept. Review all incoming faxes, email and voicemails and route to the correct nurse for completion if necessary.
Skills & Qualifications:
Must Have:
Utilization management experience with either a provider and/or insurance company is preferred
Proficiency with Microsoft Suite
Medical Terminology.
Requires extensive written and verbal communication skills.
Requires ability to work independently with minimal supervision.
Requires ability to identify problems and resolutions.
Requires knowledge of computer operating systems and various software applications.
Requires self-motivation and ability to demonstrate initiative.
Experience Level:
Entry Level
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
We are an equal opportunity employers and will consider all applications without regard to race, genetic information, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. To view the EEO is the law poster click here. Applicants with disabilities that require an accommodation or assistance a position, please call 888-472-3411 or email [email protected]. This is a dedicated line designed exclusively to assist job seekers whose disability prevents them from being able to apply online. Messages left for other purposes will not receive a response.