Account Resolution Specialist - Summit Medical Group

Summit Medical Group•Knoxville, TN

27d

About The Position

Summit Medical Group is recruiting for an Account Resolution Specialist. This is a full time opportunity. This position assists with the review of accounts to ensure timely reimbursement on outstanding balances, identify/resolve trends that will maximize revenue cycle efficiency and manage the transition of aged balances to agency. Reports to the AR Senior Department Manager. Examples of Duties (List does not include all duties assigned) Completes agency and site correspondence, including emails and reports where required. Update account demographics and file insurance on patient accounts as needed. Processes lawsuit requests from agency. Reviews all bankruptcy declarations and applies patient balance adjustments in accordance with the bankruptcy judgement. Processes discharge requests received from site locations. Communicates with sites, billing staff and collection agencies. Keeps abreast of trends and changes in regulations in collection processes. Runs and analyzes reports for collection accounts and identifies/resolves any trends that may impact department objectives. Maintains strictest confidentiality both internally and externally. Adheres to expectations of the established corporate compliance plan. Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation of site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients. Performs related work as assigned.

Requirements

High School Diploma or GED required.

Nice To Haves

Prefer one-year experience in a medical billing setting.

Responsibilities

Completes agency and site correspondence, including emails and reports where required.
Update account demographics and file insurance on patient accounts as needed.
Processes lawsuit requests from agency.
Reviews all bankruptcy declarations and applies patient balance adjustments in accordance with the bankruptcy judgement.
Processes discharge requests received from site locations.
Communicates with sites, billing staff and collection agencies.
Keeps abreast of trends and changes in regulations in collection processes.
Runs and analyzes reports for collection accounts and identifies/resolves any trends that may impact department objectives.
Maintains strictest confidentiality both internally and externally.
Adheres to expectations of the established corporate compliance plan.
Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation of site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
Performs related work as assigned.