Data Representative

Data Representative | TeamHealth

The Data Representative role plays a critical role in supporting the electronic patient registration and insurance mapping process. This position ensures accurate and timely maintenance of insurance crosswalk mappings used for electronic registration across hospital systems. This role requires strong attention to detail, analytical thinking, and collaboration with billing operations teams to ensure accurate insurance data flow and minimize downstream billing errors.

Essential Responsibilities:

• Review daily reports of unmapped insurance codes and maintain VBS cross mapping tables.
• Update insurance table using mapping requests from the Billing Operation Center Registration Departments.
• Use professional judgment to identify errors requiring correction.
• Assist with phone calls to insurance carriers to obtain correct billing information.
• Review test data for new hospital development and identify and report problems.
• Attend weekly meetings with the Billing Centers to discuss the status of new implementations, problems with existing client hospitals, and other insurance mapping issues.
• Provide feedback and support to billing centers for the electronic patient registration process.
• Identify and propose system improvements including ways to make the system more efficient for the Billing Centers to use in an accurate and productive manner.
• Meet established deadlines and productivity targets for assigned tasks and projects.
• Provide regular updates to the Analyst team and Manager on work progress and issues.
• Maintain high standards of accuracy, quality, and compliance.
• Support team priorities, including occasional overtime as required.
• Ensure strict adherence to HIPAA and all applicable regulatory requirements.

Requirements:

• Strong understanding of patient registration workflows, insurance carriers, and medical billing processes (multi-state preferred)
• Advanced proficiency in Microsoft Excel (data handling, analysis, and reporting); working knowledge of Outlook and Word
• Strong analytical and problem-solving skills with attention to detail
• Ability to manage multiple priorities in a fast-paced, deadline-driven environment
• Excellent organizational, follow-up, and communication skills
• High level of reliability, accountability, and quality of work

Education:

High School Diploma or equivalent.

Experience:

• 12 years of medical billing, patient registration, or healthcare revenue cycle experience
• Hands-on experience with insurance data and eligibility processes highly preferred