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. 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.

Requirements

  • Recognizing true overpayments from false credits
  • Researching claim cycle
  • Understanding Coordination of Benefits
  • Understanding EOB
  • Understanding Medical Terminology
  • Payment Handling
  • Effective written and verbal communication
  • 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, Collections) 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.

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.
  • 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.
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