Conditional Payment Specialist (32792)

• Investigate new referrals, clarify information received with the Conditional Payment Referral Coordinator and the nature of the assignment with the client or Account Executive.
• Follow up with the applicable Medicare contractor to track status of each claim.
• Respond to internal and external emails and phone calls in a timely manner.
• Triage conditional payment correspondence upon receipt.
• Appropriate documentation of all system notes and e-mails.
• Work with Team Manager to ensure client correspondence is logical and up to date.
• Assist with addressing issues and solving problems as needed.
• Assist other team members as needed and directed by management.
• Regularly communicate with management and provide support as needed.
• Abide by all rules of the company such as safety, confidentiality and organizational directives.
• Perform Medicare Eligibility Inquiries and Verifications as needed.
• Perform Medicare Advantage Plan and Medicaid services as needed.
• Perform Treasury-related services as needed.
• Perform other duties as assigned by management.

• Must be knowledgeable with business terminology, administration and management.
• Must be able to adequately operate a computer, fax machine, copier, scanner, and telephone.
• Must have strong knowledge of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
• Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals. Ability to compute rates and percentages.
• Ability to demonstrate strong customer service skills.
• Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
• Ability to follow instructions and respond to managements’ directions accurately.
• Must possess excellent skills in English usage, grammar, punctuation and style.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Ability to concentrate and multitask in a fast paced work environment.
• Must be able to maintain confidentiality.
• Must be able to demonstrate and promote a positive team -oriented environment.
• Must be able to work well under pressure and/or stressful conditions.
• Must possess the ability to manage change, delays, or unexpected events appropriately. 
• Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.

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Knowledge of business administration, strong Microsoft Office and computer skills, customer service and communication abilities, English proficiency, multitasking, confidentiality, and independent work skills.

Key Responsibilities

• investigating referrals
• tracking claims
• triaging correspondence

Skills & Tools

Microsoft Word, Microsoft Outlook, Microsoft Excel, Internet, fax machine, copier, scanner, telephone

Job Details

• Category: Healthcare Services - Allied Health
• Seniority: Entry Level
• Commitment: Full Time
• Workplace: Remote — Lawrenceville, Georgia, United States
• Salary: USD 39,520 – 43,680 / year
• Languages: English

Benefits

• 401k matching
• Generous paid time off
• Retirement plan

About ExamWorks Compliance Solutions

A compliance and reporting provider specializing in Medicare, medical, and pharmaceutical claims. — Industry: Healthcare