POSITION SUMMARY/RESPONSIBILITIES
Responsible for reviewing accounts to ensure accurate reimbursement. Identify payor issues affecting payment delays and follow-up with Managed Care. Contact patients and other third-party payor organizations to secure payment or arrange alternative payment/settlement plans. Identifies problem delinquencies and recommends their disposition. Independently interacts with federal, state, third-party payors, agencies, physicians, departmental directors and outside related vendors.
EDUCATION/EXPERIENCE
A high school diploma or equivalent is required. At least one (1) year of hospital experience dealing with insurance companies, three (3) years preferred. Knowledge of payor guidelines and contracts is required. Experience in appeals with third-party payors, resulting in reimbursement, is a plus. Must have working knowledge of computers, calculators and general office equipment. 10-key experience. Online Medicare/Medicaid and Commercial verification is preferred.
PI271196129
