Overview
Responsible for obtaining accurate, timely, and detailed information concerning claims and patient accounts.
Responsibilities
- Call and status outstanding claims with third party payors.
- Review claims issues and make corrections as needed and rebill.
- Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
- Review explanation of benefits to ascertain that claim processed and paid correctly.
- Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
- Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
- Prorate patient accounts and monitor that balance due is in the correct financial class.
- Report an overview of the week to the BOD and participate in AR meetings.
- Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
- Assist financial counselors as needed.
- Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.
Qualifications
EDUCATION / EXPERIENCE / SKILL REQUIREMENTS :
- High school diploma or equivalent required.
- Three or more years' prior admissions and or collections experience in a hospital setting required.
- Psychiatric experience preferred.
LICENSES / DESIGNATIONS / CERTIFICATIONS :
Not applicable
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
OAS01
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