Intermediary Settlement Representative

Description

The Opportunity

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.

The Company 

H-Wave is the very best in drug-free pain relief and rehabilitation! Our team puts patient outcomes above all else, we treat customers and co-workers like family, and we’re passionate and “all-in” for what we get to do every day.

For over 40 years the H-Wave electronic stimulation device has been used to reduce medication usage, manage pain, and speed recovery from surgery or injury. We provide physicians in the worker's compensation, auto insurance, VA, and personal injury markets with a more effective drug-free alternative; which helps their patients live a better life and improves the efficiency and success of physician offices with more satisfied patients.

When you join H-Wave, you become part of a tight-knit team dedicated to helping people live better lives while also supporting physicians in delivering top-tier care.

The Job

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

Requirements

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