Reviews and audits accounts located in contract management system on a daily basis to resolve and maintain collection status on an account prior to escalating to Team Lead for further review. Reviews and processes non-governmental accounts through contract management system. Verifies eligibility, corrects and resubmits claim, and files third party insurances as necessary by adding/updating insurance information to host system. Utilizes denial management system and responds to requests from insurance carrier for additional information necessary to process claims. Analyzes expected reimbursement information in contract management system. Utilizes the system/contract foundation to ensure the accounts are properly paid. Reviews EOB's in contract management system and determines accurate account balance, detailed denial description, and applicable appeal process. Identifies and corrects transactions, such as invalid insurance information, incorrect charges, and posting errors, in host system. Posts adjustments in host system. Reviews and verifies claim export data in electronic billing, contract management and/or host systems.
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Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees