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Reimbursement Data Entry Representative

Company

Smith & Nephew
Address , Remote
Employment type FULL_TIME
Salary
Expires 2023-06-26
Posted at 1 year ago
Job Description
Role Overview:
This role will support the company in achieving its mission to connect patients, providers, and payors to ensure patients can access best-in-class technologies and products. The Reimbursement Data Entry Representative is responsible for processing incoming insurance verification requests and related communication. The data entry representative will be responsible for data quality and integrity of information transcribed into the dedicated database. The data entry representative will also be responsible to provide best in class customer service support for all outbound provider communication, inbound calls, and may include triage and case escalation as appropriate. The data entry representative will be required to follow company policies, procedures, and compliance directives at all times. This role will be required to ensure all protected health information (PHI) is managed appropriately within the governing Health Insurance Portability and Accountability Act (HIPAA) guidelines.
Responsibilities:
  • (10%) Reports any delays/challenges and escalates complaints accordingly to Team Lead and/or Supervisor as necessary.
  • (30%) Ensure email/fax information is uploaded into the appropriate database locations and distributed to the correct account/provider or internal associates, following necessary PHI handling procedures and meeting expected productivity levels each day and week.
  • (20%) Review all data entry related work for accuracy and completeness as quality will be a paramount component of this role, including protection of PHI.
  • (10%) Performs related duties as assigned.
  • (30%) Review of all assigned incoming faxes received daily and further compiling, sorting, and establishing data entry priorities, including identifying missing information and missing information resolution.
Location:
US - Field
Education:
Required
  • Work experience or education in a healthcare related, life sciences, or quantitative field (Medicine, Nursing, Biology, Biochemistry, Engineering, Math, Finance/Accounting, or related)
Preferred
  • Reimbursement and/or Healthcare admissions/Intake experience within the healthcare industry
  • Four year college degree
Licenses/ Certifications:
  • N/A
Experience:
  • Knowledge of Medicare, Medicaid, and Private Insurance Reimbursement Methodology
  • 1-3 years’ experience required in customer service, healthcare admissions/intake, and/or reimbursement experience within the biotechnology, pharmaceutical or Durable Medical Equipment (DME) industry
  • Previous coding and billing experience in the healthcare industry - preferred, but not required
  • Basic understanding of Data Entry/Customer Relationship Management programs (SalesForce, Dynamics365, other)
  • Familiar with ICD 10 Coding
  • Intermediate knowledge of Microsoft based products/Office Suite (Word, Excel, Outlook, Skype, TEAMS, etc.)
Competences:
  • Strong work ethics and holds self accountable with willingness to learn, and desire to continually improve
  • Possesses effective communication skills, oral, written, listening, and non-verbal
  • Flexibility and adaptability to change according to business needs
  • Strong attention to quality and details in adherence to standards while ethically maintaining a business perspective
  • Displays strong critical thinking skills
  • Excellent organizational and time management skills
  • Able to handle high volume case situations and maintain a positive attitude in a fast-paced environment
  • Ability to consistently interact professionally at multiple levels within a client-oriented organization
  • Exceptional Customer Service skills that align with Smith and Nephews best in class culture
Physical Demands:
  • Employee is regularly required to stand, sit, talk, hear/listen, and use hands and fingers to operate a computer and telephone keyboard
  • Close vision requirements due to computer work
  • Light to moderate lifting required, example: Using the in-office printer and refilling paper trays/toner
Travel Requirements: Up to 10%
Smith+Nephew provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability.