The Associate, Access Operations is primarily responsible for preparing, receiving, and reporting orders for preliminary and final submissions to the billing vendor. The Associate, Access Operations works on daily queues of incoming cases to review for complete and accurate billing information in order to determine the party responsible for payment for submission to the billing vendor. Orders which are incomplete or inaccurate require the Associate, Access Operations to reach out to the ordering facility to obtain and correct the information, or to patients for Advanced Beneficiary Notices as required. The position also participates in process improvement projects such as the development of system automation and Standard Operating Procedures (SOPs), and may interface with customers as needed. Client is seeking a talented and highly self-motivated Associate, Access Operations to join our team. The Associate, Access Operations will be primarily responsible for preparing, receiving and reporting orders for preliminary and final submissions to the billing vendor. The Associate, Access Operations will work daily queues of incoming cases to review for complete and accurate billing information in order to determine the party responsible for payment for submission to client’s billing vendor. Orders which are incomplete or inaccurate will require the Associate, Access Operations to reach out to the ordering facility to obtain and/or correct this information, or to patients for Advanced Beneficiary Notices as required. As an interface to our valuable customers, it is critical that the successful candidate for this role can demonstrate commitment to our values as well as have a core desire to provide excellent customer service. The Associate, Access Operations will also participate in process improvement projects such as the development system automation, training, and Standard Operating Procedures (SOPs). Key Responsibilities • Complete preliminary billing activities within multiple billing applications, including: • Document review; Data entry; and, Case submission to FMI’s billing vendor. • Communicate with internal and external clients to obtain missing billing information. • Manage domestic self-pay accounts: • Investigate missing information prior to pursuing payment collection; and, • Reach out to patients directly to obtain missing payment information. • Participate in process improvement projects to advance the business: • Trainings; SOPs; and, System Development. • Review and enter supplemental test charges to the billing vendor's system(s). • Coordinate with Sales and Billing Operations to manage billing preferences and education opportunities for ordering clients. • Process and complete prior authorizations for third party insurance carriers. • Coordinate the receipt of Advance Notice forms from patients as required by payers. • Answer incoming calls and e-mails to address internal and external inquiries. • Manage department email in-boxes to resolve inquiries and complete timely dispatch or escalation. • Process credit card and other payment submissions into billing systems. • Educate patients on financial assistance program and assist them with the application process. • Ensure financial assistance needs are addressed and respond to patient concerns regarding benefits and coverage determinations. • Ad hoc requests and special projects as necessary. Qualifications Basic Qualifications • High School Diploma or General Education Degree • 1+ year(s) of customer service experience and/or professional office experience Preferred Qualifications • Bachelor’s Degree • 1+ year(s) of professional of experience within medical billing and/or in a patient-centric role Experience: • with Prior Authorization and Advance Beneficiary Notices • working with a goal-oriented team to meet deadlines • independently prioritizing and coordinating daily activities
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $18.00/hr - $20.00/hr.
