ESSENTIAL DUTIES AND RESPONSIBILITIES are as follows: although this is not an all-encompassing list and extra responsibilities possibly included as required to satisfy the requirements of the company. To perform this task effectively, a private need to have the ability to carry out each vital task.
- Analyze Revenue Cycle Performance
- Identify Reimbursement Inconsistencies
- Contract Adherence
- Solutions to Resolve Claim Rejection Denials
- Audit Insurance Remittance Postings
- Maintain Daily Billing Spreadsheets
Collect info from billing department to evaluate day-to-day activities.
Assist in examining all insurance coverage ask for reclaim on claims that were formerly paid. Make certain demands are genuine and conflict demands that are not corroborated.
Work with Reimbursement Analyst to make certain all services, products, implants and product utilized in a treatment is billed appropriately for each claim.
Promptly fixes, or deals with others to deal with, concerns that might postpone payment, i.e., sending asked for documents, inappropriate/incorrect treatment or diagnostic coding, and so on
Consistently interacts and works together with other employee to make sure a timely resolution is discovered.
Investigate alternatives to deal with account balances; makes suggestion on personality of exceptional balances based upon understanding and strategy taken so far.
Keeps comprehensive, clear and succinct log of every action required to deal with claim problems, account balances, and so on
Requirements
The minimum requirements noted below are representative of the understanding, abilities, capabilities, education, training, licensures, and experience needed to be effective in the position.
Required Education/Experience
High school diploma or General Education Degree (GED).
Preferred Education/Experience
Knowledge of collection ideas either through previous experience or training.
Working understanding of medical terms and coding.
Other Knowledge, Skills and Abilities
Read, compose and speak in the English language to effectively carry out the vital tasks of this position.
Computer-literate in order to effectively carry out the necessary tasks of this position.
Display a considerate and expert way when interacting the information of the account and the strategy to deal with the financial obligation.
Mathematical capability to determine figures and quantities.
Analytical thinker
Mental endurance in order to deal with continuous needs, obstacles and challenging scenarios and individuals.
Ability to multi-task, deal with various disturbances and determination to examine and alter concerns.
Effectively present details and react to concerns from a varied population, consisting of management, managers, insurer agents, clients, member of the family, and so on
Pinnacle Healthcare
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