Intermediary Settlement Representative

Job Purpose

The Intermediary Settlement Representative is responsible for working with our contracted vendors to provide documentation or information for the purposes of obtaining authorization and payment. This is done by communicating with vendors through email, telephone, conference calls.

Duties and Responsibilities

Processing Purchase Orders

• Reviewing and processing Purchase Orders submitted by vendor
• Confirm purchase order pricing, patient’s demographics, correct verbiage for date of service
• Process purchase orders for billing

Customer Service - Answering Emails/ Telephone Calls

• Providing top notch customer service to our vendors by answering questions, providing information requested within 2 days of receiving an inquiry
• This may require the ability to further research an account when necessary

Seeking Authorization

• Filtering the authorization report and submitting it weekly for pending authorizations to the vendors for approval on initial, continued and supply billing
• You may be required to review any discrepancy in data which needs to be updated prior to the report being sent
• Faxing or emailing the prescriptions to the vendors for authorization when needed

Collections

• Filtering the Aging report and review individual aging per vendor for any discrepancies before submitting to the vendor
• Allow the vendor 7 days to review the reporting and reply with responses to dates of service
• Escalate outstanding dates of service that are over 45 days old by email, telephone, or conference calls to determine and/or resolve outstanding payments
• Review vendor responses to Aging report
• You may be required to review any payment discrepancy or request write-offs as needed
• Provide justification to denied dates of service
• If the vendor has not replied to the Aging report within 7 business days, continue to follow up and escalate to a manager if necessary
• Additional job duties and responsibilities as assigned

Qualifications

• 1+ years of administrative experience in an office setting 
• 1+ years of customer service experience 
• Proficiency with Microsoft Office 
• Medical authorization or collections experience is a plus  
• Excellent written and verbal communication skills while working in a fast-paced environment
• Strong attention to detail 

Physical Requirements

This is a position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position. Reasonable accommodation will be provided to assist or enable qualified individuals with disabilities to perform the essential functions of the position, upon request.