Client Operations Specialist- Onsite

Description:

POSITION SUMMARY: The Onsite Client Operations Specialist is an onsite resource for our clients, located in the hospital, and is responsible for coordinating and communicating between internal operations and our clients to obtain necessary insurance, documents, information, and placements to facilitate claims resolution. The Client Operations Specialist must have an understanding of complex denials, be detail oriented, and willing to implement new processes as necessary based on clients' needs and as Kemberton's client base and service lines continue to grow.


ESSENTIAL FUNCTIONS:

Operations

  • Obtaining Auto/Workers comp and insurance from patients
  • Manage work queues assigned to Kemberton in Epic
  • Capture insurance information at time of service
  • Calling all MVA and Workers Cmp insurance for claims numbers and billing information
  • Loading all insurances and notes in Koehzion and updating Epic as needed to coordinate benefits
  • Obtaining Med Recs and HCFA's on all claims
  • Billing all claims processed
  • Check for unfound payments and resolve payment errors

Communication

  • Coordinate with clients via email and phone to obtain necessary documentation and correspondence, place accounts, coordinate updated insurance info, resolve payment errors/invoice discrepancies, and obtain client signatures on various types of forms and settlement offers.
  • Send weekly and monthly reports to clients which include request lists, return reports, and inventory status updates.
  • Manage timely filing issues both internally and externally to obtain necessary documents and billing requests.
  • Coordinate with Correspondence and Data Integrity regarding placements, requests, and client spreadsheets and responses.
  • Manage internal request processes by distributing work to the request team, following up on request errors, coordinating training, and overseeing the implementation and documentation of new processes and protocol.
  • Navigate Clients' systems to review accounts, check for payments, and obtain account details.

Organization

  • Organize and keep to date documentation regarding internal request protocol, track reviews and requests, and communicate with the client success managers on client access and contacts.
  • Perform other duties as assigned by management


. Requirements:

QUALIFICATIONS:

  • Bachelor's Degree, preferably in Business, or a comparable level of relevant work experience and/or education.
  • Experience managing client accounts and interfacing with client points of contact is preferred.
  • Claim resolution experience is preferred, but not required. Experience with denials claims resolution is ideal.
  • Must be proficient in Microsoft office including Excel.
  • Must have ability to build rapport and trust with Clients, as well as maintain professionalism with internal communications.
  • Must have great attention to detail, time management and organizational skills
  • Must be effective working collaboratively in a growing, fast paced, results oriented environment
  • Knowledge of Healthcare Terminology preferred






PI137851017

Posted
05/28/2021
Type
Full time
Salary Range
$50,000.00 - 82,000.00
per Year
Salary range estimated by
Location
Falls Church, VA 22042, US