Validations Associate – Remote – Synergy Health Partners – California USA

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Essential Functions:

Data entry of patient medical charges or open format data from source documents into the computer using a keyboard
Verification of insurance eligibility and benefits
Reviews source documents to determine the accuracy and completeness of information and data
Ensures the data entry is verified and reconciled for accuracy before filing
Assists other accounts receivable team members as needed to meet departmental deadlines, including assisting with overloads
Assists in maintaining patient information and data in accordance with HIPAA regulations. Performs other duties/functions as may be assigned to the position

Excellent oral/written communication skills. Communicate effectively and diplomatically with internal and external customers and other SHP personnel both orally and in writing.
Computer software applications, word processing, and electronic spreadsheets
Knowledge of medical billing, CPT, HCPCS, and ICD-9 codes, software, and other tools
Ability to follow through, assume responsibility, use good judgment, and prioritize the workload
Maintain professionalism in stressful situations
Any combination of experience and training that would provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be: Data entry 10,000 – 12,000 keystrokes per hour with an accuracy rate of 98.50%
Experience using a 10-key by touch
Ability to distinguish between primary and secondary payors as well as identifying insurance products (ie. Medicare HMO, Medi-Cal HMO, Medical Groups vs. Health Plan)