Job Description
Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner..
- Essential Functions
- Identifies appropriate payment details and saves back-up as appropriate.
- Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution.
- Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution.
- Abel to navigate various payer claim portals and understand payer functionality.
- Interacting with others by effectively communicating both orally and in writing.
- Operate computers and other office equipment, as well as various computer softwareโs.
- See and read computer monitors and documents in English.
- Skills
- Recognizing true overpayments from false credits
- Researching claim cycle
- Understanding Coordination of Benefits
- Understanding EOB
- Understanding Medical Terminology
- Payment Handling
- Effective written and verbal communication
- Computer Literacy
- Time Management
- HIPAA Regulations
Physical Requirements:
- Qualifications
- High School Diploma or equivalent (GED) required
- One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up, Collections) required
- Knowledge of Medicaid and Medicare billing regulations required
- Physical Requirements
- Operate computers and other office equipment requiring the ability to move fingers and hands.
- Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
- May require lifting and transporting objects and office supplies, bending, kneeling and reaching.
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