ESSENTIAL FUNCTIONS:
- Call and status outstanding claims with third party payors.
- Review claims issues make corrections as needed and rebill. Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
- Review explanation of benefits to ascertain that claim processed and paid correctly.
- Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
- Managed daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
- Prorate patient accounts and monitor that balance due is in the correct financial class.
- Weekly reporting to the BOD an overview of the week and participate in AR meetings.
- Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
- Assist financial counselors as needed.
- Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required.
- Three or more years admissions and/or collections experience in a hospital setting required.
- Extensive knowledge and understanding of Commercial Insurance required.
- Microsoft Excel experience and knowledge of creating and maintaining spreadsheets claim status & collections.
Salary: From $19.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
8 hour shift
Education:
High school or equivalent (Required)
Required Experience:
Unclear Seniority