Patient Account Assoc II Credit Balance Review

Intermountain Health

2d•$19 - $27

About The Position

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. Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts. 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 software’s. See and read computer monitors and documents in English. Train new and existing associates.

Requirements

Recognizing true overpayments from false credits
Advanced knowledge of revenue cycle and health insurance payers
Reading and Understanding Payer Contracts
Advanced knowledge of Coordination of Benefits
Advanced knowledge of reading EOB
Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner
Advanced knowledge of Medical Terminology
Payment Handling
Effective written and verbal communication
Assist Leadership with mentoring peers as well as new hires.
Computer Literacy
Time Management
HIPAA Regulations
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) required
Knowledge of Medicaid and Medicare billing regulations required
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.

Nice To Haves

Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred

Responsibilities

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.
Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts.
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 software’s.
See and read computer monitors and documents in English.
Train new and existing associates.