Ensure that assigned accounts are promptly and accurately billed and/or reimbursed: Documented team production expectations on assigned accounts are consistently achieved; including daily management of WIP in all systems. Quality audits reflect thorough follow up and clear, professional documentation as well as process adherence. Quality audits reflect compliant billing practices encompassing regulatory and departmental requirements. Tools and resources (e.g. payer websites) are appropriately used to efficiently assess claims status. Account concerns are appropriately escalated through appropriate internal and external documented channels. Reconsiderations and appeals are professionally written and tracked efficiently. Adjustments are appropriately classified and posted. Credit balances are reviewed for accuracy and resolution steps are processed according to departmental standards. Incoming correspondence is managed in an organized, efficient and effective manner. Active participation in daily huddles, team meetings or ad hoc discussions occurs. Team process improvements and objectives are supported, including backing up team members as needed. Optimal and timely customer service is provided to payers, patients, families, and staff from other departments and co-workers. Collaboration with departmental staff and utilization of other resources appropriately occurs.
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Job Type
Full-time
Career Level
Entry Level
Number of Employees
5,001-10,000 employees