Checkout Specialist

2 months ago

Springs, South Africa Resurgens Orthopaedics Full time
Description

SUMMARY

Once the provider and clinical staff has completed the patient visit, the patient is ready for check out.

The Checkout Specialist works in a fast-paced environment, providing outstanding customer service to all patients. General duties include insurance benefit review with the patient, collection of time of service balances and past due balances.

ESSENTIAL DUTIES AND RESPONSIBILITIES

 Reviews services received by patients, checking to make sure that all services rendered have been recorded correctly Enters charges / approves claim creations in EMR system at Check-Out  Submits appropriate claims for Real Time Adjudication  Works “Day End Review” report and designated Tier-based HOLD Claim Worklist(s) on a daily basis  Accepts accountability for all Worklists on the dashboard or elsewhere based on assignment  Collect monies owed, to include co-pay’s, outstanding balances, and time of service collections  Posts monies and produces a receipt for the patient  Answers straightforward billing questions  Reconcile payment batch in EMR systems  Follows site specific end of day duties Requirements

QUALIFICATIONS

 1+ years of medical office experience  Intermediate computer skills  Basic CPT and ICD-10 coding knowledge  Knowledge of billing procedures

PHYSICAL DEMANDS

While performing the duties of this job, employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear. Employee may be occasionally required to climb or balance, stoop, kneel, or crouch. Employee must occasionally lift, push and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

WORK ENVIRONMENT

While performing the duties of this job, employee may be exposed to risk of infectious diseases when interacting with patients and/or family members. The employee may be occasionally exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals and vibration. The noise level in the work environment is usually moderate.