OverviewExamWorks Clinical Solutionsis seeking a professional experienced in Medicare for our virtual Conditional Payment Specialist role.The Conditional Payment Specialist is responsible for coordinating with Medicare and its contractors to obtain documentation, ensuring timely follow ups are made, and timely and accurate updates are provided to clients. This position ensures all services are completed with highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates. Candidate MUST haveMedicare Secondary Payer Compliance experience. *This is a Remote, Virtual Position (Open to anyone in the U.S.)*ResponsibilitiesESSENTIAL JOB FUNCTIONS Investigation of new referrals, clarifying information received with the Conditional Payment Referral Coordinator and the nature of the assignment with the client or Account Executive. Follow up with the applicable Medicare contractor to track...
Oct 30, 2020
OverviewExamWorks Clinical Solutionsis seeking a professional experienced in Medicare for our virtual Conditional Payment Specialist role.The Conditional Payment Specialist is responsible for coordinating with Medicare and its contractors to obtain documentation, ensuring timely follow ups are made, and timely and accurate updates are provided to clients. This position ensures all services are completed with highest quality and integrity and that all work is in full compliance with client contractual agreements, regulatory agency standards and/or federal and state mandates. Candidate MUST haveMedicare Secondary Payer Compliance experience. *This is a Remote, Virtual Position (Open to anyone in the U.S.)*ResponsibilitiesESSENTIAL JOB FUNCTIONS Investigation of new referrals, clarifying information received with the Conditional Payment Referral Coordinator and the nature of the assignment with the client or Account Executive. Follow up with the applicable Medicare contractor to track...
This position is also home-based job and you need to have the following to apply: Home computer that is no older than 4 years old and high speed internet in your home or access to a reliable connection.Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors.Triages resulting rework to appropriate staff.Documents and tracks contacts with members, providers and plan sponsors.Guides the member through their members plan of benefits, company policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines.Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.Taking accountability to fully understand the member's needs by building a trusting and caring relationship with the member.Anticipates customer needs. Provides the customer with related information to answer the unasked questions, e.g. additional...
Oct 30, 2020
This position is also home-based job and you need to have the following to apply: Home computer that is no older than 4 years old and high speed internet in your home or access to a reliable connection.Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors.Triages resulting rework to appropriate staff.Documents and tracks contacts with members, providers and plan sponsors.Guides the member through their members plan of benefits, company policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines.Creates an emotional connection with our members by understanding and engaging the member to the fullest to champion for our members' best health.Taking accountability to fully understand the member's needs by building a trusting and caring relationship with the member.Anticipates customer needs. Provides the customer with related information to answer the unasked questions, e.g. additional...
