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JOB DESCRIPTION OVERVIEW:
Under direct supervision, the Clerical Support Representative is responsible for daily administrative and clerical duties in the Clerical Support department. This position involves various processes. Stamping outgoing mail, GDI-Imaging, Clerical MR/Sorting, Sorting Payer Correspondence, Clerical 2nd INV Billing, Printed Claims-Clerical EOB’s-(Can’t find-Primary EOB’s), Clerical Return Mail, OP Clerical, ETM-Clerical EOB, Bad Address claims report, Matching of Overprovisions Checks and remits. Processing Risk Medical Records request. Ordering of department supplies and other clerical and administrative duties as assigned. The position works in a cooperative team environment to provide value to customers (internal and external). The Clerical Assistant carries out his/her duties by adhering to the highest standards of ethical and moral conduct and acts in the best interest of TeamHealth.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
QUALIFICATIONS / EXPERIENCE:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience:
Normally, the knowledge, skills and abilities necessary for adequate job performance can be obtained through approximately one or more years of experience performing billing functions within a multi-facility environment and experience with business process design desirable. In addition, demonstrated success working in a team environment focused on meeting organization goals and objectives is necessary. Experience with providing visible participation and support of major change initiatives preferred. Experience (3-5 years) and excellent working knowledge of third party billing regulations and requirements including claims editing and submission processes.
Mathematical Skills:
Knowledge of basic math and the ability to perform math functions in units of American currency.
Reasoning Ability:
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
Ability to review documents for accuracy and reasonability.
Ability to determine priorities
Ability to coordinate schedules and information.
Personality Traits/Emotional Demands:
Ability to work well under pressure.
Tact and patience when dealing with individuals at all levels, both within and outside the company.
Commitment to IPC values
Ability to provide visible participation and support of major change initiatives.
Ability to be flexible in problem solving environment.
Language Skills:
Ability to communicate effectively orally, in person and on the telephone, and in writing, with individuals at all levels, both within and outside the company.
Other Skills and/or Abilities:
Comprehensive experience of inpatient and outpatient billing requirements of HCFA 1500 billing forms.
Ability to multi-task, set priorities and follow through without direct supervision.
Ability to type efficiently and accurately.
Ability to operate a computer (i.e., Microsoft Office-including Word and Excel) efficiently and accurately.
Ability to operate various office machines (i.e., fax, copier).
Ability to work well in a team environment focused on meeting organizational goals and objectives.
PHYSICAL / ENVIRONMENTAL DEMANDS:
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
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