Provide quality, timely, courteous service, and optimum maintenance of patient accounts, including dissemination of information, billing services, follow-up, and collection of accounts receivable, bad debt, governmental, and contract compliance issues/guidelines

MINIMUM EXPERIENCE:2 years of experience in hospital business office, insurance claims processing, physician office billing and/or hospital admitting and PC/CRT

PREFERRED EXPERIENCE:3 years recent in hospital business office. Basic medical terminology; working knowledge of third-party payors, federal, state, and local billing regulations; and bilingual (English and Spanish)

Shift: Days

Hours: 8am to 5pm

General Functions:

·Demonstrates required skills for communication with various health insurance providers

·Possesses moderate billing knowledge, with the ability to perform remittance review and analysis

·Follows-up on secondary insurance billing, Medicaid appeals and denials and commercial appeals

·Identifies late charges and credit corrections

·Adds insurance profiles

·Communicates appeals to insurance company regarding denials

• Handles discounts, clinical pre-certification issues

Department/Business Unit Functions:

·Verifies eligibility from various insurance agencies

·Retrieves patient accounts

·Addresses letters from Medicare, works with prompt pay issues

·Makes insurance follow-up calls

·Performs corrections and updates to the insurance master

·Files, faxes, copies and performs other clerical duties

·Performs data entry, work processing and correspondence duties

·Performs special projects as assigned

·Utilizes resources efficiently and effectively

·Maintains safe environment

• Participates in Performance Improvement activities