Operational Support Specialist- Remote

Med Metrix•Parsippany-Troy Hills, NJ

7d•Remote

About The Position

The Operational Support Specialist will provide support to the Collections and Billing Teams. This role involves monitoring new business, cash, returned accounts, and other assigned files, as well as reconciling daily placements, imports, and audit reports. The specialist will process assigned worklists to assist in the adjudication of inventory across all product lines, generate, analyze, and process reports, and interact with appropriate personnel to resolve account issues. Responsibilities also include performing online adjustments on various systems, notifying management of inventory and file anomalies, performing necessary follow-up activity, and processing correspondence. The role requires utilizing and documenting applicable company, hospital, and payer systems. Furthermore, the specialist must use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards, understand and comply with Information Security and HIPAA policies and procedures at all times, and limit viewing of PHI to the absolute minimum necessary to perform assigned duties.

Requirements

High school diploma or equivalent required
1+ years’ experience working in a revenue cycle insurance function with follow-up/billing experience
Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
Basic math and typing skills
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required

Responsibilities

Monitor new business, cash, returned accounts and other assigned files
Reconcile daily placements, import and audit reports
Process assigned worklists to assist in the adjudication of inventory in all product lines
Generate, analyze and process reports
Interact with appropriate personnel to resolve account issues
Perform online adjustments on various systems
Notify management of inventory and file anomalies
Perform follow-up activity as needed
Process correspondence
Utilize and documents applicable company, hospital and payer systems
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties