Responding to calls or correspondence from insurance companies and providing requested information to process the patient account.
Researches required information with appropriate departments
Communicates with insurance companies in a prompt and efficient manner
Utilizes knowledge of Patient Financial Services policies and procedures
Utilizes effective communication skills to maintain open and ongoing exchange of information between internal and external customers
Reviews system account of demographics, collection notes and other pertinent account information for accuracy.
Displays working knowledge of insurance requirements while communicating with insurance companies.
Demonstrates the ability to analyze and identify reasons for claim denials, reviewing billing an insurance company claim problems in a timely fashion with the supervisor to assure resolution of accounts.
Initiates rebilling of claims when necessary, ordering rebills in the system and allowing the claim to be processed through the billing department.
Reviews reports that are provided for collection follow-up and works all related reports for pending or denied claims
Maintains knowledge of third party collections, as well as utilization of applicable automated resources.
Experience:
Two three years of experience working in a related patient accounting environment which included direct customer service preferred.
Demonstrates well-developed office and clerical skills including typing and word processing skills, as well as working knowledge of office procedures and phone etiquette in order to maintain documentation of assigned accounts and provide office support.
Requires a working knowledge of the functions in a patient accounts unit.
Requires organizational skills to prepare and maintain various reports and mathematical skills in order to compile and verify billing information.
Demonstrates well-developed interpersonal and communication skills necessary to interact effectively with all internal and external customers, as needed. Demonstrates working knowledge of the English language, verbal and written.
Education:
Minimum of a high school diploma or its equivalent (GED) with additional course work or training in office operations including typing, personal computer use, filing, and office procedures.
Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Hospitals and Health Care
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