SPECIALIST-AR FOLLOW UP

US
2 months ago
Position Code
5566
Day Shift
Yes
Night Shift
No
Rotating Shift
No
Evenings
No
Status
Regular Full-Time
Department
HS PATIENT FINANCIAL SERVICES

Overview and Responsibilities

Responsible for follow up on Accounts Receivable to all payers. Serves as a resourse for other Office staff and patients concerning expected payments, payments made and contract conflicts. Performs other duties as assigned.

Qualifications

DescriptionMinimum RequiredPreferred / Desired
Experience  
 One (1) year experience in physicians office or hospital setting.Preferred clerical skills with a working knowledge of accounting and insurance coverages and three (3) years’ experience in a physicians or hospital setting. Good customer service skills are a requirement.
Education  
   
Training  
 PC skills and keyboarding Working knowledge of 10 key, typing and computers.Prefer knowledge of insurance billing and collections and insurance guidelines.
Special Skills  
 Ability to type and key accurately, problem solving, written an d oral communication skills, financial counseling skills - knowledge of insurance billing (both hospital and professional settings) and collections - knowledge of insurance guidelines as it relates to CMS guidelines, TennCare and/or Medicaid based by state specified requirements. Ability to recognize and communicate to clinical staff or designee when insurance companies require additional review because of NCCI, CCI , LMRP, Mutually Exclusive and Medical Necessity edits. Effective Verbal, written and customer service skills as it relates to patients and insurance companies. Able to create communications to patients and insurance companies as needed to resolve issues to complete billing/claim processes.Knowledge of ICD-9, ICD-10, CPT and HCPCS codes and certification and/or degree in Healthcare Administration Business, Finance or related fields preferred.
Licensure 

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