VOUCHER EXAMINER

Fort Defiance Indian Hospital Board, Inc.•Fort Defiance Agency, AZ

5d•$19 - $23

About The Position

The Voucher Examiner position involves following up and corresponding with responsible parties regarding patient accounts in accordance with Center of Medicare & Medicaid Services (CMS) and commercial payer guidelines. This role requires reviewing delinquent patient accounts, identifying and resolving errors or omissions, and ensuring all efforts are maximized before account adjustments. The Voucher Examiner will also review Explanation of Benefits (EOB) and correspondence from third-party payers, update knowledge of payer processes, and meet daily productivity benchmarks set by the Accounts Receivable Manager. Strong internal relationships with other Revenue Cycle Management areas are essential. The position requires examining accounts for accuracy, providing adequate documentation to payers for claim processing, and may involve various shifts and holidays. Other duties as assigned.

Requirements

Applicant must have a valid, unrestricted insurable driver’s license.
Resumes and references are required.
Two (2) years’ experience in a healthcare setting in any of the following areas: Patient Registration, Coding, Billing, Collections.

Responsibilities

Follows-up and corresponds with responsible parties in accordance to Center of Medicare & Medicaid Services (CMS) and commercial payer guidelines and requirements.
Reviews delinquent patient accounts, following up with responsible parties via telephone and correspondence according to organization policy and procedures.
Identifies errors, omissions, duplications in documentation and works with other departments for resolutions.
Reviews patient accounts to determine the status of the account and ensures all efforts have been maximized and exhausted prior to adjustment process.
Reviews all Explanation of Benefits (EOB) and correspondences from third party payers to identify discrepancies for appropriate follow-up or adjustments.
Updates and maintains all changes in payer processes, requirements and guidelines through self-education.
Meets daily productivity benchmark that is set by the Accounts Receivable Manager. This would include any changes based upon necessity.
Upholds internal relationships with other areas of Revenue Cycle Management such as; Patient Registration, Health Information Management, Coding, Patient Accounts and Accounts Receivable.
Examines accounts for accuracy and provides adequate documentation to payers within compliance of regulations for justification of all services rendered for medical treatment to process claims for adjudication or reimbursement.
Employee may be scheduled various shift and holidays.
Performs Other duties as assigned