About The Position

Guides several tasks related to patient accounts for hospital and clinical facilities. Daily duties include processing claims, collecting payments, resolving denials and other problems, attending to inquiries regarding an account. Guides tasks in helping to resolve payer enrollment-related denials. Job Responsibility Assists and guides the processing and managing of physician claims. Oversees the collection of payments from physicians for processing. Resolves any issues relating to the physicians account. Answers any questions physicians may have about their account. Assists physicians with terms for repayment structures. Negotiates any overdue balance to recover payment from physicians. Reconciles time of service collections. Generates bills for physicians including payment plan options. Explains insurance benefits to physicians. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Requirements

  • Associate's Degree required, or equivalent combination of education and related experience.
  • 3-5 years of relevant experience, required.

Responsibilities

  • processing claims
  • collecting payments
  • resolving denials and other problems
  • attending to inquiries regarding an account
  • resolving payer enrollment-related denials
  • processing and managing of physician claims
  • collection of payments from physicians for processing
  • resolving issues relating to the physicians account
  • answering questions physicians may have about their account
  • assisting physicians with terms for repayment structures
  • negotiating any overdue balance to recover payment from physicians
  • reconciling time of service collections
  • generating bills for physicians including payment plan options
  • explaining insurance benefits to physicians
  • performing related duties as required
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