Summary
This is the first level of a revenue cycle PFS career path. Responsible for compiling all required documents to support initial filing, review, appeal of insurance claims within filing limits, manual payment posting and to support proper account completion and closure prior to 120 days post patient discharge.
Ensures all payer remittances are scanned to the appropriate patient account where necessary and then transferred to the correct payer teams for processing and review.
Organizes and distributes all correspondence that is received from external sources and ensures their delivery to the appropriate team for processing.
Ensures that manual payment receipts are correctly applied to patient accounts and performs necessary research to support cash application and reconciliation.
Work towards increasing payer specific and / or cash application knowledge and requirements in an effort to continue along career growth path.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education : High School graduate or GED preferred. License / Certifications : N / A Experience : No experience required.
Able to work in a high volume, fast paced work environment and perform and prioritize multiple tasks simultaneously. Proficiencies : Keyboard and data entry skills required.
Computer experience is required with Microsoft Word, e-mail, and internet communication, as well as the ability to work effectively with electronic work quality monitoring and electronic systems.
Requires the employee to have experience with or the capability to be trained to solve problems and work towards solutions in an independent and / or team manner.
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