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Role Description

Responsible for collection activities including but not limited to insurance follow-up, resolving denials & rejections, submitting re-bills, re-submit claims, and file appeals. Assists with resolving unpaid self-pay and patient residual accounts. As needed, acts as the back-up for the billing function, posts charges and submits insurance claims. Completes required reports and assists with special projects as assigned. Backs up other front office positions as needed.

• Performs claims follow-up by working aging and denials.
• Applies knowledge of insurance contracts and medical procedure reimbursement.
• Coordinates resubmission of claims when necessary.
• Submits appeals with supporting documentation when warranted.
• Identifies denial trends and works with management and payers to resolve issues.
• Contributes to team effort to meet collection goals and reduce A/R days.
• Investigates insurance overpayments and submits refund requests to department manager.
• Exhibits strong problem solving and research skills to ensure solutions are found.
• Completes required reports and assists with special projects as assigned.
• On an as needed basis will assist and back-up other front office staff positions.
• Role models the principles of a Just Culture and Organizational Values.
• Perform other duties as assigned. Must be HIPAA compliant.

Qualifications

• One year healthcare experience OR One year accounts receivable experience required
• Bachelor's Degree preferred

Requirements

• Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
• Must have working knowledge of the English language, including reading, writing, and speaking English.

Benefits

• Competitive wages
• Parental leave (4 weeks paid)
• Housing programs
• Childcare reimbursement
• Comprehensive Health Benefits:
• Medical
• Dental
• Vision
• Educational Programs:
• Tuition Assistance
• Existing Student Loan Repayment
• Specialty Certification Reimbursement
• Annual Supplemental Educational Funds
• Paid Time Off: Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
• 403(b) Retirement plan with immediate matching
• Life insurance
• Short and long-term disability
• Recreation Benefits, Wellness & More:
• Up to $1,000 annual wellbeing reimbursement
• Recreation discounts
• Pet insurance