Resolution Coordinator

Business Center 1San Antonio, TX
13d

About The Position

The Resolution Coordinator will conduct operational role-based training for all new hires within PBS. This position will assist the Executive Director and Assistant Directors to provide support within several functional working teams; billing, collections, customer service, cash posting and refunds. The Resolution Coordinator will develop, reviews and maintain all standard operating procedures used within PBS.

Requirements

  • Minimum of 3-5 years in a hospital or physician billing office and/or patient access.
  • High school diploma or equivalent is required.
  • Knowledge of medical terminology and billing/collection practices.
  • Ability to read and interpret insurance explanation of benefits (EOBs).
  • Knowledge of payer edits, rejections, rules, and how to appropriately respond to each.
  • Accuracy in identifying the cause of rejections/denials and selecting the most appropriate method for resolution.
  • Demonstrated proficiency with timely and successful appeals to insurance companies.
  • Ability to create professional correspondence to insurance companies and patients.

Responsibilities

  • Conduct operational role-based training for all new hires within PBS.
  • Assist the Executive Director and Assistant Directors to provide support within several functional working teams; billing, collections, customer service, cash posting and refunds.
  • Develop, reviews and maintain all standard operating procedures used within PBS.
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