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Biller

Biller

Western Missouri Medical CenterWarrensburg, MO, US
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Account Resolution Specialist

This position is responsible for account resolution of assigned accounts once they have final billed until the balance becomes self-pay.

Essential Functions

  • Use AIDET when greeting patients / customers either on the phone or in person.
  • Assist patients / customers with the concerns and questions on all bills from WMMC and WMMC clinics, as assigned.
  • Trend claim denials, advises supervisor of trends in order to improve processes with the department.
  • Follow up on denials aggressively with focus on AR reduction. Initial and subsequent follow up should be based on payer turnaround time and contract requirements.
  • Complete the following duties daily, process late charges, correct claim rejections and maintain AR within current HARA benchmarks.
  • Demonstrates the ability to maintain the responsible AR with no more than 30% over 90 days.
  • All messages left before 330PM Monday through Friday must be returned with 2 hours.
  • Handle inquiries from patients / customers as needed after identification has been verified.
  • Assist co-workers as needed / requested.
  • Maintain a positive rapport with all customers.
  • Appropriately handles telephone and email communications.
  • Support the Medical Center's Mission / Vision / Philosophy positively.
  • Maintain regular and predictable attendance.
  • Perform other essential duties as assigned.

Education / Experience / Skill Requirements

  • High school diploma or equivalent.
  • Previous medical billing / coding experience required.
  • Good understanding of medical insurance billing / coding.
  • Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital / clinic.

    • Physical / Mental Requirements

  • Must be able to sit and stand, intermittent 8 to 10 hours a day.
  • Must be able to use standard office equipment, including the telephone and computer keyboard.
  • Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines.
  • Continuously utilizes manual / bi-manual dexterity, near vision, speech, and hearing.
  • Frequently stands, walks, sits and utilizes eye / hand coordination and color definition.
  • Occasionally reaches above shoulder, regularly required to life and / or carry up to 40 lbs.
  • Occasionally walks on uneven surfaces.
  • Ability to travel 1% of the time, including flying and driving rental cars.
  • To accommodate travel, must be able to transport own suitcases and portable computer estimated at 25 pounds.
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    Biller • Warrensburg, MO, US