TPL Claims Representative @ Elevate Patient Financial Solutions® | Jobright.ai
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Elevate Patient Financial Solutions® · 1 day ago

TPL Claims Representative

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Responsibilities

Maintain a queue of Third-Party Liability accounts as assigned by management.
Maintain an average of 60 unique accounts worked per day (8 unique accounts worked per hour) once full job proficiency has been achieved.
Contact hospital patients via telephone to obtain accident details and insurance information. Support hospital patients by answering any questions about the Third-Party Liability process.
Obtain accident reports from law enforcement agencies in the event that the patient cannot provide the necessary accident details and/or insurance information.
Submit hospital bills to insurance companies for payment, and request hospital liens to be filed, as applicable.
Maintain contact with insurance adjusters and/or personal injury attorneys during the claims adjudication process to ensure that the hospital bill/lien is paid timely and in full.
Provide updates to Elevate PFS’s account management system as account work is completed; this is done by selecting the applicable option from an account status menu and writing a detailed note explaining what information was obtained and what transpired during the act of working each account.
Assist management with ad hoc inventory initiatives and other projects, as needed.
Other duties as assigned.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

HIPAA complianceFDCPA complianceHospital revenue cycleHospital lien statutesOutlookWordExcel

Required

High school diploma or GED required
Knowledge of and compliance with State and Federal regulations that govern collection practices, such as HIPAA and FDCPA.
Intermediate knowledge of Outlook, Word, and Excel
High commitment to customer service and high levels of empathy and understanding.
Dependable and highly detailed individual with strong organizational skills
Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria.

Preferred

Minimum one-year experience working hospital revenue cycle processes preferred
Knowledge of or experience working with hospital lien statutes, or paperwork pertaining to other statutory regulations, is a definitive advantage

Benefits

Medical, Dental & Vision Insurance
401K (100% match for the first 3% & 50% match for the next 2%)
15 days of PTO
7 paid Holidays
2 Floating holidays
1 Elevate Day (floating holiday)
Pet Insurance
Employee referral bonus program
Teamwork: We believe in teamwork and having fun together
Career Growth: Gain great experience to promote to higher roles

Company

Elevate Patient Financial Solutions®

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Elevate Patient Financial Solutions® is a trusted partner who delivers superior RCM solutions to hospitals, health systems, and health providers nationwide.
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