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This role is integral to our team, focusing on managing the revenue cycle for our clients. You will be tasked with a variety of responsibilities, including identifying new admissions, verifying insurance coverage, and coordinating the financial assessment process.
Job Responsibility:
Follow-up on patient accounts per established procedures
Documents all follow-up on patient accounts in billing comments section in the electronic medical record
Prepares Billing Adjustments and Payment Adjustments according to established procedures
Maintains the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer
Interacts with patients/families regarding medical insurance benefits and reimbursement of services
Demonstrates effective Service Excellence skills according to agency standards
Works collaboratively with Revenue Cycle team members and other appropriate staff to ensure reimbursement of all services
Assists in the continued development of the verification, admission, and reimbursement processes
Performs identified back-up functions for the Insurance Verification Coordinator and other Patient Accounts Coordinators as identified
Requirements:
Experience working with insurance such as Medicare and Medicaid
Knowledge of Epaces for electronic medical billing and administration
Expertise in handling Accounts Receivable (AR) to ensure correct and timely payments
Skill in managing Appeals to resolve any disputes or discrepancies in billing
Understanding of Benefit Functions to accurately calculate and apply patient benefits
Experience in Billing Functions to ensure accurate and prompt invoicing
Proficiency in Claim Administration to manage and resolve insurance claims effectively
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