Provider Assignment Clerk

BraultSan Dimas, CA
$17 - $20Onsite

About The Position

Under general supervision, this position is responsible for ensuring that provider assignment errors are corrected prior to final closing for all Datasets by auditing and analyzing reports of charges to assure appropriate and accurate provider assignment and CPT to place of service assignment.

Requirements

  • Ability to work at a fast pace and maintain a high concentration level with accuracy working in multiple system platforms.
  • Ability to work independently with minimal supervision, to work under pressure, and to work under deadlines.
  • Excellent organizational skills.
  • Excellent time-management skills.
  • Ability to troubleshoot in an electronic environment.
  • Computer keyboarding skills and experience with MS Office
  • Strong organizational and interpersonal skills
  • Excellent written and oral communication skills.
  • Excellent analytical skills
  • Proficient in Microsoft Office applications including Word and Excel.
  • Ability to prioritize workload, to meet deadlines and to maintain a high level of quality and accuracy

Nice To Haves

  • Knowledge of coding principles and guidelines, preferred.
  • Knowledge of insurance payer guidelines, preferred.

Responsibilities

  • Monitors monthly closing schedule to ensure all provider assignment/sequencing reviews are completed 1 day prior to the month-end date.
  • Run reports for the verification process for each dataset on a weekly or bi-weekly basis.
  • Review reports to determine accuracy in provider assignment/sequencing per client or payer guidelines.
  • Reviews reports to validate location and POS accuracy of billed services associated with provider assignments.
  • Distributes coder trends or quality findings to the appropriate coding workflow team to educate the coder and track accuracy.
  • Makes provider assignment and/or sequencing corrections in billing platform or other system(s).
  • Participates in company meetings.
  • Provides status reports to Operations Manager as requested.
  • Complies with all internal policies and procedures.
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