About The Position

This position provides extraordinary care to customers through friendly, courteous, and professional service. It requires a broad understanding of account handling processes, strong interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner.

Requirements

  • High School Diploma or equivalent (GED)
  • One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up)
  • Knowledge of Medicaid and Medicare billing regulations
  • 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
  • Computer Literacy
  • Time Management
  • HIPAA Regulations

Nice To Haves

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

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.
  • Able 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.
  • Assist Leadership with mentoring peers as well as new hires.

Benefits

  • Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
  • PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution.
  • The PEAK program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
  • Caregivers are eligible to participate in PEAK on day 1 of employment.
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