ESSENTIAL DUTIES AND RESPONSIBILITIES are as follows: although this is not an extensive list and extra responsibilities perhaps included as required to satisfy the requirements of the company. To perform this task effectively, a private should have the ability to carry out each necessary 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 details from billing department to evaluate day-to-day activities.
Assist in examining all insurance coverage ask for reclaim on claims that were formerly paid. Ensure demands are genuine and conflict demands that are not corroborated.
Work with Reimbursement Analyst to ensure all services, materials, implants and product utilized in a treatment is billed correctly for each claim.
Promptly deals with, or deals with others to fix, problems 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 guarantee a timely resolution is discovered.
Investigate choices to deal with account balances; makes suggestion on personality of impressive balances based upon understanding and strategy taken so far.
Keeps comprehensive, clear and succinct log of every action required to solve claim concerns, 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 important responsibilities of this position.
Computer-literate in order to effectively carry out the vital tasks of this position.
Display a polite and expert way when interacting the information of the account and the strategy to solve the financial obligation.
Mathematical capability to compute figures and quantities.
Analytical thinker
Mental endurance in order to deal with consistent needs, difficulties and challenging situations and individuals.
Ability to multi-task, deal with various disruptions and desire to evaluate and alter top priorities.
Effectively present info and react to concerns from a varied population, consisting of management, managers, insurance provider agents, clients, relative, and so on
Pinnacle Healthcare
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