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.
