Responsible for following up with assigned payer for various denials, such as no authorization, eligibility denials, etc.
Coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work
Works as a member of a team to ensure reimbursement for services in a timely and accurate manner
May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity
Coordinates with other staff members and physician office staff as necessary ensure correct processing
Builds strong working relationships with assigned business units, hospital departments or provider offices
Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues
Requirements
Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing clearly reflected in uploaded resume
Minimum of 1 year experience writing appeal letters for payer/payor denials
Intermediate to Advanced skill level in Microsoft Excel
Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience
Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently
Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.
Benefits
Innovation and highly trained staff
Workplace excellence
Happiness, satisfaction, wellbeing and fulfilment of our team members
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Medical Insurance ARPhysician Fee for Service Billingwriting appeal letterspayment processingclaims researchfinancial applicationspayment plansaccounts receivablebillingcollections
Soft skills
interpersonal skillsoral communicationwritten communicationtime managementindependenceteam collaborationrelationship buildingproblem-solvingmultitaskingattention to detail