Full Job Description
Job Description:
Duties:
- Handle and resolve all insurance follow up and denial issues to ensure that company receives correct reimbursements from the insurance companies.
- Serve as the liaison between insurance companies, patients and the departments.
- Ensure claims are processed and followed up to meet company goals of account receivable days, aging account percentages and cash goals.
- Demonstrates knowledge of government payers guidelines (Medicare/Medicaid).
- Responsible for processing appeals and researching of claims.
- Research and answer all questions and complaints, regarding patient responsibility balances and billing inquiries sent to them through the customer call center with the highest degree of courtesy and professionalism.
- Initiates contact with insurance carriers regarding status on claims.
- Maintains accurate and complete collection notes concerning collection activities on all accounts according to company procedures and requirements.
- Takes incoming calls from insurance carriers and patients.
- Ensures that all processing and reporting deadlines are consistently achieved.
- Maintain compliance with all company policies and procedures.
Basic Qualifications:
- High school diploma or GED required
- Associate degree preferred
- Preferred years of experience - Level one representative 2 to 3, Level two representative 3 to 5 and Level three 5+.
- Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
- Excellent computer proficiency (Office Suite - Word, Excel and Outlook)
Pay Range : $20/hr - $26/hr
Job Information
Job Category:
Other
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