Job Description

Description

Summary:

Review and resolve outstanding A/R accounts to ensure activities regarding patient accounts are reviewed and resolved in a timely and thorough manner, ultimately resulting in full payment on the account. This description is not intended to be a complete list of duties.

Responsibilities:

Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area Maintains required core competencies. Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.) Reviews payer EOB's but not limited to payment accuracy, patient liability, and appeal grievances. Work 60 accounts daily Files appeal on denied claims and/or forwards to the Nurse Auditor for review Process incoming mail correspondence from payers within 5 business days. Follow up with the insurance companies by phone and or web for the status of outstanding claims. Follow up with all insurance companies within 30 days of billing if there is no payment on the account. Enter detailed notes explaining account activity in the Patient Accounts system Respond to patient inquiries regarding the status of the patient's insurance within 2 business days. Forward patient complaints regarding care to your supervisor for entry into the appropriate resolution pathway. Accept payments over the phone. Research late charges to determine the cause; inform your supervisor if they are a regular occurrence. Report payer trends to Supervisor and Director of Patient Financial Services Maintain courtesy and respect at all times when working with internal and external customers Performs other duties as assigned

Requirements:

Education

High School diploma or equivalent.

Experience

Prefer two (2) years of hospital or physician practice billing and/or collections experience. Able to work with volume accounts for resolution. Working knowledge of computers and calculators desired. Possess the ability to work with internal and external customers

Licenses, Certifications or Registrations

Current American Heart - Basic Life Support (BLS)card.

Work Schedule:



Varies

Work Type:

Full Time