Xerox Bill Review Specialist I - Call Center Agent in Lakeland, Florida
*Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. Xerox serves clients in more than 160 countries. For more information, visit www.xerox.com, www.news.xerox.com, www.realbusiness.com or www.xerox.com/businessservices.
If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
Bill Review Specialist I - Call Center Agent
11:30 am - 8pm work shift
The Provider Relations Representative is responsible for answering phone inquiries pertaining to workers compensation claims from multi-state medical providers. An understanding of company computer systems, StrataWare, CompIQ and Call Track, is required to answer, return and manage calls. The primary function of the Provider Relations Representative is to provide prompt, courteous and professional Customer Service.
High school diploma/GED
Ability to learn ICD-9 and CPT coding
Ability to use Microsoft Windows-based software
Ability to learn and apply basic medical terminology
Good oral and written skills
Ability to assess and document reconsideration issues
Ability to work in a team environment
Minimum one (1) year of Customer Service experience
Two (2) years experience in Customer Service Department
Two (2) years experience in Workers’ Compensation
Two (2) years experience in a medical setting
Six (6) months experience in Bill Review Department
Working knowledge of Strataware/CompIQ, Call Track, and any client proprietary software
Understanding of State rulings and regulations as relating to Workers’ Compensation
Understanding of medical bill processing rules and guidelines
Provide prompt, courteous and accurate customer service
Perform administrative tasks such as managing faxes, phone message retrieval, and e-mails within 24 hours
Facilitate the processing of “PRIORITY” request to ensure that bill review processors make the necessary changes with 48 hours
Processing medical bills, coding , or data entry with 98% accuracy during phone downtime
Demonstrate the ability to work both individually and in a team environment
Respond to provider issues and direct problem resolution
Set an example of courtesy and professionalism for all co-workers and customers
Complete additional work assignments as required by management
Demonstrate the ability to use Stratraware/CompIQ and any client proprietary software to locate claim information (by social security number, claim number or patient name) to provide current status (check information, authorization and/or compensability).
Analyze Call Track data to determine that the information gathered is correct and calls can be resolved.
Maintain a schedule adherence rating of less than 4 occurrences.
Maintain a quality level of 3.0 or higher (scale 1-5).
Demonstrate an understanding of the Bill Review guidelines and procedures.
Demonstrate professional attitude and communication at all times with coworkers
Adhere to the Bill Review Department Dependability guidelines.
Physical Demands and Work Environment
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
/Physical demands/: prolonged sitting; use hands to finger or handle objects or controls; occasionally reach with hands and arms; occasionally lift and/or move up to 15 pounds; frequent talking; hear; prolonged viewing of computer monitor. /Work environment/: indoor office environment; minimal noise level.
Xerox is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply or compete for employment with Xerox may request such accommodation(s) by sending an e-mail to email@example.com. Be sure to include your name, the job you are interested in, and the accommodation you are seeking.
Job: Service Delivery Healthcare
Organization: Workmans Comp Site
Title: Bill Review Specialist I - Call Center Agent
Requisition ID: 16027647
Virtual/work from home? No