About this role
At SCP Health, what you do matters As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here: - Strong track record of providing excellent work/life balance. - Comprehensive benefits package and competitive compensation. - Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
Primary Duties and Responsibilities:
• Responsible for tracking, reporting and trending chart and edit volume to ensure timely processing and workflow integrity • Evaluate and ensure proper chart flow ensuring deadlines are met • Monitor departmental inventory by process and report to management daily • Communicate and follow up on volume not processed as deadlines approach • Research complex edits escalated to the department and implementing resolutions that result in denial prevention and an increase in billing quality and revenue • Outbound calls to insurance carriers for additional data gathering • Examine KAV reports on a monthly basis • Determine top denials • Initiate resolution • Report out for MOR
• Follow up and resolution to complex edit issues • Frequent communication with offshore partners regarding deadlines and edit resolution • Assist in meeting deadlines and target inventories by processing edits when needed • Maintain a comprehensive knowledge of the departmental policies and procedures
Knowledge, Skills, and Abilities:
• Detail oriented and organized • Self-motivated; capable of compiling/tracking data to meet deadlines and goals • Excellent interpersonal skills • Ability to work equally well individually and in a team environment and adhere to our CORE values of Agility, Courage, Collaboration and Respect • Professional attitude and demeanor • Written and oral communication skills • Proficient computer knowledge of Word, Excel, Windows and Outlook • Quick learner with an aptitude for custom computer systems • Previous success and comfort with entering data for extended time periods and limited interruptions
EDUCATION (Required and/or Preferred):
• High school diploma or equivalent required
FIELD OF STUDY (Preferred):
• Business or healthcare related field
SUPERVISION EXERCISED: N/A
QUALIFICATIONS: Previous Experience:
• One year experience in medical billing preferred • One year experience in a fast-paced production environment • Experience in Microsoft Excel, Word & Outlook
Knowledge, Skills, and Abilities:
• Detail oriented, organized, self-motivated • Capable of compiling/tracking data to meet deadlines and goals • Excellent interpersonal skills • Quick learner with an aptitude for custom computer systems • Previous success and comfort with entering data for extended time periods and limited interruptions
Certification and Licenses: N/A
CONTACTS INSIDE AND OUTSIDE THE ORGANIZATION: Examples of the information needed:
• Daily contact with Department Leadership • Frequent contact with offshore partners written and oral • Frequent contact with insurance carriers and facilities via phone calls
WORK ENVIRONMENT AND PHYSICAL DEMANDS:
• Hybrid work schedule (40 hours/week); ability to work well independently in a remote setting or in the office • Courteous and professional interactions with co-workers and outside parties • Occasional overtime may be required • Continuous oral & written communication and listening skills • High level of integrity, accuracy, honesty, loyalty, and trust • Office noise and distractions must be minimized to promote quality and productive work • Job requires a high level of mental awareness and concentration ability • High level of independence; will usually work in solitude and will assume the responsibilities of prioritizing, and determining workload • Ability to be flexible with duties and responsibilities PRIMARY LOCATION:
• Home Based or Lafayette, LA
SECONDARY LOCATION(S): N/A CONFIDENTIALITY: The daily activities of this position will be held in the strictest confidence whether it is in regard to a person, individual and/or a strategic initiative. Confidentiality must be maintained on any and all documents and/or information processed.
COMPLIANCE: All SCP Health employees will abide by all policies and procedures including the SCP Health Corporate Compliance Program and will adhere to all applicable local, state, and federal laws.
DISCLAIMER: The above statements reflect the general duties considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all work requirements which may be inherent in the position. They may be subject to change at any time due to reasonable accommodation or other reasons.
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Pay Range: 15.00 - 21.00 USD per hourThis range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations. - We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources. Visit our website for further information. https://myscpbenefits.com/ Login name: corp-guest Password: weheal