Job Description

The Document Request Agent will be working to ensure that all required documents are sent to the payer by the appropiate via and in a timely manner.

Responsibilities

• Reviews patient accounts for accuracy prior to placement to outside collection vendors
• Receive account change requests and review required changes.
• Update insurance plan changes on customer accounts.
• Review account information and update required information, balances, etc.
• Researches and responds to vendor inquiries
• Reviews correspondence in the CWF system and takes appropriate account and document action
• Reviews and authorizes affidavits related to patient billing, as applicable.
• Ensures vendor inventories reconcile to SSC systems by completing recons and updating I-Plans and or placements as needed by the end of each month.
• Assist with the Medicaid Eligibility vendor reconciliation, as requested. Manages the onboarding and termination process for vendors
• Provides support during vendor transitions: Medicaid Eligibility, Early Out, Primary and Secondary agencies.
• Handles all calls. Emails, eRequest and correspondence from collection agencies.
• Responds to requests which include research payments, contractual, approving arrangements, audits, etc.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Other duties as assigned

Skills and Experience

• English – Spanish Language (Oral and writing 85% or higher), (B2+ or above).
• Must have a high school diploma or in progress to complete high school.
• At least 6 months to a year of experience in Customer Service or Backoffice positions.
• The resource will adjust its local schedule with the resources supporting this position during Daylight Savings time changes in the Eastern Time Zone.
• A genuine interest in working with and helping customers.
• Must possess excellent communication skills and involvement.
• Demonstrated experience in providing high levels of customer satisfaction and performance in a high transaction volume/high demand environment preferred.
• Good presentation and a polite, tactful, and friendly character.
• Healthcare experience is a plus.

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