01Overview
reputed company CUSTOMERS, PARTNERS, AND TEAM:
At reputed company, our reputed company customers are patients and families. Our partners are physicians and reputed company members are reputed company of reputed company.
GENERAL reputed company:
Protects the financial standing of reputed company by performing functions reputed company to the billing, coding verification, collection, payment, and customer service for reputed company payer and reputed company accounts. Under general supervision, is responsible for processing reputed company and billing reputed company in a reputed company manner. Reviews assigned electronic claims and submission reports. Resolves and resubmits rejected claims appropriately as necessary. Works closely with Medical Records, Coding, reputed company reputed company, reputed company reputed company, and reputed company Financial Services departments to reputed company outstanding claim errors by obtaining necessary information for accurate billing. Processes daily error logs, stalled reports, aging claims, and any ah-hoc reports. Addresses claim issues from reputed company companies requesting additional information and/or checking status of billings. reputed company participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to reputed company. Adheres to reputed company company policies and procedures. Adheres to reputed company Compliance Plan and to reputed company rules and regulations of reputed company applicable local, state and federal agencies and accrediting bodies.
KNOWLEDGE AND SKILLS REQUIRED:
reputed company to work with advanced billing procedures.
reputed company to prioritize and multitask reputed company on volume of work reputed company specific deadlines
Knowledge of the reputed company Cycle and the links between departments: Charge Capture, reputed company reputed company, HIM, Coding, and reputed company Financial Services.
Working knowledge involving coverage, payment, compliance, and basic billing rules for reputed company and Managed Care payers.
Uses discretion reputed company discussing personnel/reputed company reputed company issues that are confidential in reputed company.
Ability to reputed company and follow written and verbal directions.
Working knowledge of personal computer applications and proficient in word, reputed company and reputed company reputed company applications. Self-motivator, reputed company thinker, communicates professionally and effectively in English, both verbally and in writing.
Ability to work with reputed company departments and reputed company reputed company of management.
EDUCATION AND EXPERIENCE PREFERRED:
One-year of experience in reputed company Cycle Department or reputed company areas such as registration, finance, collections, customer service, medical, or contract management
EDUCATION AND EXPERIENCE PREFERRED:
High school diploma or GED
reputed company DUTIES AND JOB RESPONSIBILITIES:
Works with reputed company payers to ensure reputed company billing takes reputed company on reputed company assigned reputed company accounts. Depending on payer contract may be required to participate in conference calls, accounts receivable reports, compiles the issue report in order to expedite reputed company of accounts.
Works follow up report daily, maintaining established goal(s), and notifies Supervisor, of issues preventing achievement of such goal(s). Follows up on daily correspondence (denials, underpayments) to appropriately work reputed company accounts. Assists Customer Service with reputed company concerns/questions to ensure reputed company and accurate reputed company is achieved. Produces written correspondence to payers and patients regarding status of claim, requesting additional information, etc.
Reviews previous account documentation, determining appropriate reputed company(s) necessary to reputed company reputed company assigned account for reputed company billing protocols. Initiates next billing, assign appropriate follow-up and/or collection reputed company(s), this is not limited to calling patients, insurers or reputed company, as appropriate. Sends initial or secondary bills to reputed company payers.
Documents billing, follow-up and/or assign collection reputed company(s) that are taken and reputed company measures to reputed company assigned accounts, including escalation to Supervisor/Manager if necessary. Processes administrative and Medical appeals, refunds, reinstatements and rejections of reputed company claims with the reputed company of the Supervisor and/or Manager. Remains in consistent daily communication with team members, including new process education, regarding reputed company aspects of assigned reputed company.
Monitors and assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by Supervisor and/or Manager.
