Partners Central Business Office – IFU Specialist

partners central business office

Position: Insurance Follow-up Specialist-Credentialing

Location:  1407 Union Avenue, Suite 200

Department:  Credentialing

5 Day Posting: 9/6/15

SUMMARY:

This position reviews and researches unpaid and underpaid insurance claims and corresponds with insurance companies, physicians, clinics and hospitals relative to physician credentialing.  Must have efficient and effective ability to perform multi-task and work independently.  Excellent communication skills are a must.  Physician credentialing knowledge and experience preferred.

Ensures and maintains the confidentiality of patient information and other Partners CBO business information in accordance with HIPAA and other compliance standards. Complies with the Code of Conduct and other established policies, including but not limited to compliance, quality and safety. Acts in accordance with Partners Central Business Office’s mission at all times.

KEY RESULT AREAS (KRAs)

  • Claim Resolution
  • PCS Effectiveness
  • Preventable Write Offs
  • Issue/Notification Resolution

KNOWLEDGE, SKILLS & ABILITIES, EDUCATION and/or EXPERIENCE  

  • High school diploma or equivalent
  • Knowledge of Medical terminology
  • Knowledge of Governmental and 3rd party billing and reimbursement procedures
  • Physician Credentialing knowledge preferred
  • Excellent organizational, verbal and written communication skills are essential
  • Minimum of 2 years of medical business office experience
  • Basic computer skills including Word and Excel required
  • IDX experience preferred

The above statements are intended to describe the general nature and level of work being performed by people assigned to this position.  They are not intended to be an exhaustive list of responsibilities, duties and skills required of persons so assigned.

Salary Grade: 07

Supervisor: Feldmayer

Status: NON-EXEMPT

Appointments will be based on merit as it relates to position requirements without regard to race, color, religion, age, sex, national origin, disability, or veteran status.  Successful candidates must submit documentation verifying employment eligibility and identity and successfully pass a drug test to be employed by Partners

**External candidates should submit their resume to PCBO Human Resources jsimmers@partnerscbo.com.  Partners Central Business Office endeavors to make contact accessible to any and all users.  If you would like to contact us regarding a particular job posting, please contact Human Resources at 901-275-3663.**

Appointments will be based on merit as it relates to position requirements without regard to race, color, religion, age, sex, national origin, disability, or veteran status.  Successful candidates must submit documentation verifying employment eligibility and identity and successfully pass a drug test to be employed by Partners Central Business Office, LLC.


Central Business Office.  If you are an existing employee, contact your supervisor, and then forward your Transfer/Promotion form, updated resume, and most recent Performance Appraisal to Human Resources. External candidates should submit a resume to Partners CBO Human Resources jsimmers@partnerscbo.com.  Partners Central Business Office endeavors to make contact accessible to any and all users.  If you would like to contact us regarding this job posting, please contact Human Resources at 901-275-3663.

 

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