TeamHealth

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JOB DESCRIPTION OVERVIEW:

IDX Senior Coordinator is responsible for training and QA of IDX Coordinators. Responsible for claim specifications and query reports. Accurately maintains production to ensure timely and efficient completion.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Provide training to IDX File Maintenance and IDX EDI Coordinator
• Review the production of the Provider Enrollment and File Maintenance Coordinator via email databases
• Research with carrier claim logic problems and changes
• Review and complete Remedy Reports for claim issues that need researched, tested, and signed off
• Review of IDX for new facility start-ups
• Review In-Use or On Hold batches at month-end closing BAR and PCS
• Write and generate queries for internal and external report request
• Maintains knowledge of Informatics and generates reports
• Coordinate and communicate with IDXM on complex report request and claim issues
• Read and report pertinent information to claims filing requirements impacting Billing Center processes for all carriers submitting newsletters
• Participate in Claim Issue Meeting on biweekly basis
• Participate in monthly meetings with A/R and Patient Account
• Review and provide comments to Unbilled Charges Exception Report
• Complete ETM Edit Escalated work flow
• Prepare monthly Divisions Meeting minutes related to outstanding claim issues or Claim holds
• Add Sanction Dates for Providers and Submit claim issues for Asst providers to hold
• Cover Billing Center Trainer with User setup and Security settings changes
• Assist in any special project requested by management
• Process and upload the AB75 San Joaquin County Claim File
• Run UDA report and transfer invoices past the filing limit or invoices not processed for payment due to no available funds to PR

QUALIFICATIONS / EXPERIENCE:

• Demonstrated knowledge of physician billing.
• Excellent and written communication.
• Computer literate.
• Excellent follow-up skills.
• Excellent organizational skills.
• Detailed oriented.
• High school diploma or equivalent.

SUPERVISORY RESPONSIBILITIES:

• None

PHYSICAL / ENVIRONMENTAL DEMANDS:

Set in a pleasant, high-volume, fast-paced office environment. Involves extensive computer use. Requires constant sitting and standing tolerance.

Overtime may be required and can be mandated by Management.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

Job Requirements:

QUALIFICATIONS / EXPERIENCE:

• Demonstrated knowledge of physician billing.
• Excellent and written communication.
• Computer literate.
• Excellent follow-up skills.
• Excellent organizational skills.
• Detailed oriented.
• High school diploma or equivalent.

SUPERVISORY RESPONSIBILITIES:

• None

PHYSICAL / ENVIRONMENTAL DEMANDS:

Set in a pleasant, high-volume, fast-paced office environment.

Involves extensive computer use.

Requires constant sitting and standing tolerance.

Overtime may be required and can be mandated by Management.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position.

All employees must be able to work with others beyond giving and receiving instructions.

This includes getting along with co-workers, peers and management without exhibiting behavior extremes.

Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor.

Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification.

It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

https://www.teamhealth.com/california-applicant-privacy-notice/