ESSENTIAL DUTIES AND RESPONSIBILITIES are as follows: although this is not a complete list and extra responsibilities possibly included as essential to satisfy the requirements of the company. To perform this task effectively, a specific 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 info from billing department to evaluate everyday activities.
Assist in evaluating all insurance coverage ask for reclaim on claims that were formerly paid. Ensure demands are genuine and conflict demands that are not validated.
Work with Reimbursement Analyst to make certain all services, materials, implants and product utilized in a treatment is billed effectively for each claim.
Promptly deals with, or deals with others to fix, 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 staff member to make sure a timely resolution is discovered.
Investigate choices to solve 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 deal with 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 principles 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 necessary tasks of this position.
Computer-literate in order to effectively carry out the important tasks of this position.
Display a polite and expert way when interacting the information of the account and the strategy to deal with the financial obligation.
Mathematical capability to compute figures and quantities.
Analytical thinker
Mental endurance in order to deal with continuous needs, difficulties and tough scenarios and individuals.
Ability to multi-task, deal with many disruptions and desire to evaluate and alter concerns.
Effectively present details 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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