ESSENTIAL DUTIES AND RESPONSIBILITIES are as follows: although this is not a complete list and extra tasks possibly included as essential to fulfill the requirements of the company. To perform this task effectively, a specific need to 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 examine everyday activities.
Assist in examining all insurance coverage ask for reclaim on claims that were formerly paid. Make certain demands are genuine and disagreement demands that are not validated.
Work with Reimbursement Analyst to make certain all services, materials, implants and product utilized in a treatment is billed correctly for each claim.
Promptly solves, or deals with others to solve, problems that might postpone payment, i.e., sending asked for documents, inappropriate/incorrect treatment or diagnostic coding, and so on
Consistently interacts and complies with other employee 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 fix 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 vital tasks of this position.
Computer-literate in order to effectively carry out the vital responsibilities 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 determine figures and quantities.
Analytical thinker
Mental endurance in order to deal with continuous needs, obstacles and hard scenarios and individuals.
Ability to multi-task, deal with many disruptions and determination 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
No comments:
Post a Comment