Emergency Situation Hospital Systems.

  • Spring, TX


  • Long-term.

  • Full-time.

Position Summary:

This position is mainly accountable for insurance coverage collections, follow-up calls, confirming payment precision, and enticing insurance coverage balances. Oversight of all receivables and accountable to keep comprehensive and precise account paperwork and intensify payer concerns to make sure prompt compensation of medical claims. The person will require to total position obligations by following developed standards and procedures within the suitable amount of time, and should be versatile with his/her work schedule. This position includes discretion and independent action within recommended limitations.

Essential Durties and Responsibilities:

  • Responsible for the everyday follow-up of both electronic and paper claims; this consists of all resolution of any billing mistakes.
  • Obtain extra details required to appeal all rejected or underpaid claims.
  • Appeal all claims that procedure out of network improperly.
  • Coordinate with the coding department on all claims processed as non-emergent.
  • Ensure that all client accounts are effectively and entirely recorded with the department’s paperwork requirements developed by management.
  • Ensure that all accounts are worked prompt and paperwork is maintained to date.
  • Review EOBs for appropriate compensation, rejections, and appeals.
  • Ensure efficiency standards are satisfied daily as stated by management.
  • Maintain performance reports through stand out spreadsheets.
  • Make demands to medical billing system for re-filing or any other billing queries.
  • Ensure shipment of outstanding customer support through interaction, and collaborating with other departments to fix concerns.
  • Complies with all appropriate policies and treatments to satisfy JCAHO and business requirements.
  • Perform other responsibilities as designated.

Education and Experience:

  • High school diploma needed
  • 3-5 years of experience in medical insurance coverage collections/appeals
  • Excel intermediate experience
  • Excellent interaction abilities with internal and external customers

Language/ Math/ Reasoning Ability:

  • Ability to check out, examines, and translates basic service regulars, expert journals, technical treatments, or governmental policies. Capability to compose reports, organization correspondence, and treatment handbooks. Capability to successfully present info and react to concerns from groups of supervisors, customers, consumers, and the public
  • Ability to include, deduct, increase, and divide in all systems of procedure, utilizing entire numbers, typical portions, and decimals. Capability to calculate rate, ratio, and percent: draw and translate bar chart
  • Ability to fix useful issues and handle a range of concrete variables in scenarios where just minimal standardization exists. Capability to translate a range of guidelines provided in composed, oral, diagram, or schedule kind

Computer Skills:

  • Intermediate computer system abilities

.

Emergency Situation Hospital Systems.

  • Apply Now.