About The Position

This role is responsible for communicating with third-party payers, patients, and hospital departments to ensure timely resolution of accounts. The representative will work with the mailroom to send out estate and bankruptcy packages, review accounts, and load insurance information. They will also update account data for vendor weekly reports, assist walk-in patients, and provide backup for the call center. Additionally, the role involves processing incoming mail, including pre-certifications and patient correspondence, and maintaining up-to-date knowledge of institutional/departmental policies, third-party payer regulations, regulatory billing requirements, and standard institutional and physician forms and processes.

Requirements

  • High School diploma or equivalent OR post-high school diploma/highest degree earned
  • One (1) year related work experience.
  • Understand, promote, and adhere to all matters of compliance with laws and regulations.
  • Technically competent in all aspects of duties and assignments.
  • Ability to learn new computer techniques and programs as they become available.
  • Ability to effectively plan, organize, and execute position responsibilities.
  • Communication skills
  • Customer service skills
  • Organizational skills
  • Computer skills

Responsibilities

  • Communicates with third party payers, patients, and hospital departments for timely resolution.
  • Works with the mail room in sending out initial estate packages and bankruptcy packages.
  • Reviews accounts and loads insurance.
  • Updates account data for vendor weekly reports.
  • Assists walk in patients and serves as call center phone back up.
  • Processes received mail to include pre-certifications and patient correspondence.
  • Maintains current knowledge of institutional/departmental policies, third party payer regulations and all regulatory billing requirements, and standard institutional and physician forms and processes.
  • Meets daily performance goals.
  • Contributes to department goals.
  • Utilizes time and resources, assisting coworkers as time allows.
  • Explains the account payment and settlement process to patient and third-party payers.
  • Responsible for setting up payments' arrangements.
  • Documents all patient and billing information.
  • Responsible for daily time management, task management and completion.
  • Communicates billing and posting issues to supervisor/team leader.
  • Performs other duties as assigned.
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