About The Position

To provide support for all aspects of the Revenue Cycle billing and collections process, responsible for the billing and collection of accounts receivable outstanding balances. Act in a manner that maintains confidentiality, protects and safeguards patient personal medical and financial information at all times.

Requirements

  • High school diploma or equivalent required.
  • 1-3 years of recent work experience interpreting payer contracts, professional and/or hospital reimbursement and billing compliance.
  • Experience developing and maintaining third party payer relationships.
  • Familiarity with Patient Financial Services (PFS) processes for claim generation and submission, billing edits, payer processing requirements, and claim/medical records audit procedures.
  • Windows-based PC skills and computer proficiency required.
  • Basic EMR/billing system knowledge required.
  • Basic claims clearinghouse system knowledge required.

Nice To Haves

  • Familiarity with medical terminology, ICD-10 and CPT/HCPCS coding systems preferred.

Responsibilities

  • Responsible for the timely and accurate resolution of billing and reimbursement issues.
  • Customer service and collection of outstanding balances.
  • Work with third party payors and intermediaries to pursue prompt payment of professional claims for assigned financial classes.
  • Meet benchmarks, performance measurements, and reporting requirements.
  • Collaborate with internal/external stakeholders to resolve issues pertaining to assigned workgroup.
  • Interact and work with other areas of the patient financial services team to identify and resolve issues related to the billing and collections of medical claims.
  • Perform other job-related duties and assignments as requested.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Hospitals

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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