CommonSpirit Health-posted 6 days ago
Full-time • Entry Level
Prescott Valley, AZ
5,001-10,000 employees

Responsible for the timely follow-up on accounts and resolves denials and/or correspondence. Assists in process improvements to bring about greater claim resolution. Has frequent contact with team members, third party payers and other medical center personnel.

  • Appropriately works the accounts receivable and denials using the collection tool and policies and procedures to achieve department and hospital goals.
  • Posts adjustments for appropriate account reconciliation and resolution.
  • Rebills accounts and posts payments as required.
  • Understands contracts and payer specific guidelines in order to ensure timely follow-up to avoid untimely denials and delays in cash flow.
  • Maintains and facilitates communication within the business and clinical divisions.
  • Responds professionally and within appropriate timeframes to telephone, e-mail and task inquiries.
  • Participates in collector meetings, performance improvement activities and committees as assigned. Utilizes issues log when necessary.
  • Meets productivity standards for working outstanding accounts and denials in an effort to achieve claim resolution.
  • Other job duties as assigned
  • High School graduate or GED
  • One year of clerical experience in an office setting; hospital or clinic collection experience preferred
  • Knowledge of coding rules and guidelines and the ability to appropriately interpret EOBs
  • Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service
  • Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment
  • Ability to maintain acute attention to detail
  • Basic computer literacy and proficiency in Microsoft Windows
  • Basic proficiency with MS Office (Outlook, Word, Excel)
  • Experience with insurance billing computer applications preferred
  • hospital or clinic collection experience
  • Experience with insurance billing computer applications
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