Error Processing Representative (Synergy)

Job Title

General Summary : A full-time position responsible for troubleshooting routine front-end billing opportunities such as clearinghouse rejections, billing system edits, order entry, and exception management. This team member will research, translate, and analyze demographic data to ensure prompt payment from customers and resolve systems issues from daily reports to determine appropriate resolution action.

Essential Job Responsibilities :

• Accurate and timely claims submission and resubmission to Third Party Payers and affiliates, including their HMO, PPO, Medicare Advantage, Medicaid MCO and the new healthcare exchange products.
• Responsible for resolving pre-bill edits, denials, etc. for assigned accounts.
• Make corrections and rebill as appropriate to maximize billing and reimbursement processing.
• Establish an excellent relationship with payers, clients, and internal staff.
• Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes.
• Adhere to MAKO policies, including attendance and punctuality.
• Adhere to confidentiality (HIPAA) requirements.

Education : High school diploma or equivalent. Bachelor's degree preferred.

Experience : Minimum 1-2 years of experience in the billing industry required. Excellent verbal and written communication skills. Laboratory billing experience preferred. Strong analytical and problem-solving skills. Ability to organize, prioritize, and manage various work assignments in a timely fashion. Telcor experienced strongly preferred.

Quality Standards : Team player who will lead by example and promote a positive work culture when partnering with internal / external business partners. Demonstrates initiative, personal awareness, professionalism, and integrity, and exercises confidentiality in all areas of performance. Follows all local, state, and federal laws concerning employment including but not limited to I-9, Harassment, EEOC, Civil rights, and ADA. Follows OSHA regulations and site protocols, policies, and procedures. Follows HIPAA, compliance, privacy, safety, and confidentiality standards at all times. Practices universal safety precautions. Promotes good public relations on the phone and in person. Adapts and is willing to learn new tasks, methods, and systems. Reports to work regularly as scheduled; consistently punctual with respect to working hours, meal and rest breaks, and maintains satisfactory personal attendance in accordance with guidelines. Consistently adheres to time management policies and procedures. Completes job responsibilities in a quality and timely manner.

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.