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AVAILABLE OPPORTUNITIES - FOR BUSINESS OFFICE:
Care Coordinator
Objective / Essential Job Functions
Care Coordinators are responsible for the follow-up and scheduling services United Medical provides for their clients. This position acts as a liaison between patients and their physicians, working both independently and collaboratively with your supervisor/team in a high qualitative and productivity-driven environment.
Essential Job Functions:
Manage hospital admissions and discharges census for several Delaware hospitals
Schedule patients for follow-up appointments with primary care physicians and specialists after hospital discharge and for routine care, as required
Frequent clinical patient phone contact (inbound/outbound) to aid providers in efficient and quality patient care
Document patient contact results in electronic health record
Utilize internal database system to track and organize workflow for patient contact and record results
Utilize electronic health records to evaluate services provided and track information in database
Manage monthly insurance rosters to schedule new patient appointments or current patients for preventative services
Generate and send population management letters to patients to follow up regarding phone contact results
Work Environment:
This position is held in United Medical's business office. This is not a remote position.
Payment Posting Specialist
Summary/Objective
Payment Posters are responsible for the accurate and timely posting of payments received from medical insurance companies and patients for a portfolio of clients.
Essential Functions
Perform accurate monetary data entry in a deadline-driven environment
Verify accuracy of billing data and correct any errors
Understand a varied of complex insurance plans and government assisted programs
Print out explanations of benefits on a daily basis for all United Medical clients
Access each client’s bank account to download transaction activity
Update transaction history from the previous business day
Post payments, first, for any and all clients who reconcile accounts daily
Electronically post payments for all United Medical clients
Manually post payments on designated days
Complete all electronic payments on a weekly basis
Review explanation of benefits reports weekly to ensure all are printed, completed and filed
Run end of month reports as instructed by your Client Manager
Monitor rejected claims and error reports, then supply documentation to the appropriate department
Follow specific payment posting instructions for each client in your portfolio.
Communicate with other departments to obtain explanation of benefits
Communicate with client manager regarding any missing electronic remittance or deposits
Use, protect, and disclose patients’ protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards.
Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others
Perform other responsibilities as needed
Competencies
Computer literacy
Communication literacy
Time Management Skills
Organizational Skills
Basic Mathematical Skills
Revenue Cycle Specialist
Job Summary
United Medical’s Revenue Cycle Specialist will be responsible for the accurate, timely review, and follow up of all outstanding or denied medical insurance claims for your health professional client portfolio.
Essential Functions
Analyze explanation of benefits, and work all denied claims related to that account
Track productivity by using denial codes, which will be logged at the end of each work day
Communicate with insurance companies, patients and your supervisor regarding unpaid claims
Analyze Medicare and Medicaid health polices and advise patients and providers based on what is covered and not-covered by these insurance plans
Multi-task through several different healthcare databases with ease
Take inbound calls and assist customers with requests and billing questions
Process payments when requested by patients
Share knowledge and communicate effectively with on-site and off-site team members in order to achieve shared goals
Troubleshoot claims that are outstanding or have not been paid for more than 60 days
Use, protect, and disclose patient’s protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others
Perform other duties or projects as assigned by supervisor based upon business needs
Education and Experience
At least a Bachelor’s Degree in Business, Healthcare Management, or related field
Experience in medical billing, denial resolutions, appeals process and medical coding is a plus, however applicant does not need to be a Certified Coder
Knowledge of Medicare, Medicaid, and Commercial Insurances
Status and Expected Hours of Work
This is a full-time, in-office position working 40 hours per week
Shifts vary
Our central business office is located in downtown Wilmington, Delaware