- On-site position
- Maintain accounts receivable records to ensure aging is current
- Credits and collections are applied accurately and in a timely fashion
- Has an understanding of the accounts receivable posting process for medical billing including charges, payments, and adjustments.
- Posting financial transactions through the use of automated systems and team processes.
- Accurately interprets insurance explanation of benefits to ensure proper posting.
- Retrieves and uploads 835 remittance files into the patient account system ensuring file reconciliation including reviewing and posting exception files.
- Participation in optimizing productivity within the area.
- Maintains knowledge of the work area and optimizes the use of available technology.
- Researches all information needed to process and complete insurance and/or patient refunds by obtaining information from providers, insurance plans, ancillary services staff, and patients.
- Accurately processes insurance and patient refund requests by demonstrating an advanced understanding of the coordination of benefits and eligibility requirements.
- Receives and processes all refunds utilizing insurance contracts and requirements for accuracy.
- Establishes and maintains effective communication with physicians, staff, and other departments as required.
- Accepts and completes additional requests from the RCM Director.
- Adheres and understands the Business Office rules and regulations in regards to Medicare and HIPAA guidelines.
- Effectively forwards accounts requiring work up or resubmission to RCM Director.
Requirements
- Advanced level of English
- A minimum of 1 year of experience in medical billing and/or cash applications or equivalent experience in a healthcare environment.
- Prefer previous cash posting experience in a multiple lockbox environment.
- Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
- Has previously worked in an Electronic Medical Record system.
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Prime Providers
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