About this role

Ensure follow-up of claims on a timely basis and adhere to contractually binding conditions.
Daily review denials and payment discrepancies identified on EOB, RA, or Payer Correspondence.
Identify trends of denials, provide documentation and data and offer suggestions for process improvement to resolve issues.
Review system work-list, report on a daily basis to resolve accounts, which have not been paid within 30 days of claim submission.
Document activity in an accurate and timely manner on the patient account.
Maintain follow up procedures and working relationships with departments such as HIM and/or Patient Access.
Verify newly received status information and update the patient account.
Ensure compliance with all state and federal billing regulations and report suspicious activities to the appropriate person.
Work with the department on process improvements to create efficiencies and achieve overall goals.

High School Diploma/GED
2 years Patient Accounting, specifically billing, collections, customer service, or cash application
1 year Working knowledge of Microsoft Office Applications, Medical and Managed Care Contract terminology, and demonstrated knowledge of Revenue Cycle procedures.