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Call and status outstanding claims with third party payors. Review claims issues and 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. Manage 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. Report an overview of the week to the BOD and participate in AR meetings. Gather and interpret 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.
Job Responsibility
Call and status outstanding claims with third party payors
Review claims issues and make corrections as needed and rebill
Utilize claims clearing house to review and correct claims
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
Manage daily productivity via patient accounting system and productivity reports
Prorate patient accounts and monitor that balance due is in the correct financial class
Report an overview of the week to the BOD and participate in AR meetings
Gather and interpret 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
Requirements
High school diploma or equivalent required
Three or more years’ prior admissions and or collections experience in a hospital setting required