Provider Assignment Clerk

Position Summary

Essential Duties and Responsibilities

• Maintains monthly closing schedule to ensure provider assignment/sequencing reviews are completed 1 day prior to the month-end date
• Runs reports for verification process on a weekly or bi-weekly basis
• Reviews reports to determine accuracy in provider assignment/sequencing per client or payer guidelines
• Validates location and POS accuracy of billed services associated with provider assignments
• Distributes coder trends or quality findings to the appropriate coding workflow team
• 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

Requirements

• Ability to work at a fast pace and maintain accuracy with minimal supervision
• Excellent organizational and interpersonal skills
• Strong analytical and written/verbal communication skills
• Proficient in Microsoft Office applications including Word and Excel
• Ability to prioritize workload, meet deadlines, and maintain high quality and accuracy

Education & Experience Requirements

• Knowledge of coding principles and guidelines
• Knowledge of insurance payer guidelines
• Strong organizational and interpersonal skills
• Excellent written and oral communication skills
• Proficient in Microsoft Office applications including Word and Excel

Work Environment/Physical Demands

• Operates in a professional office environment
• Routinely uses standard office equipment such as laptop computers, copiers, and line/cell phones
• Occasionally lifts up to 20 pounds