POSITION SUMMARY:

Position is responsible for collecting patient and payer balances. The duties include but are not limited to the follow-up of accounts, verifying and updating information and assisting in completing special projects during month-end and year-end financial reporting process.

ESSENTIAL RESPONSIBILITIES:

• Follow-up on open balances listed on monthly AR and Payer Follow-up reports.
• Review and update patient demographics and payer information as necessary for completion of claims payment.
• Responsible for transferring balances and printing claims.
• Generate correspondence to payers such as appeals and payments.
• Promptly identify any errors or other issues in claims processing
• Effectively following up on any unpaid balances
• Expeditiously bringing any remaining balance to resolution.
• Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts
• Review explanations of benefits details on denials
• Communicate with insurance payer representatives, patients, and center staff to ensure timely and accurate resolution of account transactions.
• Prioritize assigned accounts to maximize aged accounts receivable resolution
• Review explanation of benefit (EOB) documentation and notate accounts on collection activity to perform account resolution
• Receive inbound patient calls regarding financial responsibility
• Must be able to prioritize and work independently
• Be able to work projects and complete projects within a reasonable time frame
• Be able to understand the revenue cycle process and how it relates to payers and patients.
• Be able to review claims and understand the denial process and what is required to work a denial to obtain payment for the center.
• Attend in-services, seminars and webinars for additional education and performance improvement.
• Regular and reliable attendance required.

Education/Experience:

High school education or GED with minimum of two (2) years’ experience in accounts receivables collections preferred. Knowledge of medical terminology and managed care billing guidelines is required.