Claim Specialist II
Claim Specialist II
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Responsibilities
Ensures that all Revenue Cycle services are delivered in full compliance with State and Federal regulations organizational policies and accreditation/compliance requirements and adheres to regulatory standards including Corporate Compliance and Health Insurance Portability and Accountability Act (HIPAA) while staying current through continuous education and in-services to uphold the hospitals compliance standards.
Communicates incomplete or inaccurate information originating from the front-end and back-end functions of billing and follows-up to ensure that data discrepancies are addressed promptly leading to improved billing accuracy and efficiency.
Reviews end users issues workflow problems and provides updates to team leaders of identified issues and trends.
Analyzes issues and effectively communicates to leadership and other teams cause effect and solutions to eliminate errors or negative impact trends.
Assures timely response to third party payers requests for additional information in addition to claims follow up for denials and no response.
Performs other duties as assigned.
Qualifications
Required Experience:
Unclear Seniority
Employment Type
Full-Time
