Operational Support Specialist
Billings Clinic

Billings, Montana

Posted in Health and Safety

Job Info

Operational Support Specialist is responsible for providing operational support to the Patient Accounts staff responding to requests for information or actions needed on a patient's account. Requests received from the Claims Specialists, Reimbursement/Coding Specialists, and Patient Accounts Managers and Leads.

Essential Job Functions

Scanning into Auto Silo
• Scans EOBs, charge tickets, correspondence, IHS purchase orders and patient prescriptions for services to eliminate paper and create an electronic copy that is easily retrievable.
• Indexing the document to ensure the batches are prepped appropriately to include batch types, numbered front and back, batch numbers and dates
• Perform audits to ensure checks/balances are in place to compare actual to final reports produced; rescanning anything that was missed prior to shredding originals.
• Indexes and scans into the appropriate project
• Validates and verifies each step in the process. Accuracy is critical as originals are shredded.
• Manages document shred schedule
Outgoing Mail
• Pulls secondary claims explanation of benefits (EOB) and claims out
• Reports if they see anything out of the ordinary to Management
• Understanding of what claims need to be sent as a priority
• Mails both primary and secondary claims out
Incoming Mail
• Sorts and opens all incoming mail from the mail clinic.
• Distributes mail within the Patient Finance Departments to include clinic, hospital and patient financial services
• Monitors and check fax machines and distributes as appropriate
EDI Claims
• Distributes daily claim runs to staff
• Sort the claims according to department, primary, secondary, auto-cross over claims

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