SPECIALIST-AR FOLLOW UP

US
2 days ago
Position Code
50080084
Day Shift
Yes
Night 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 resource for other Office staff and patients concerning expected payments, payments made and contract conflicts.

Qualifications

Preferred clerical skills, preferred clerical skills with a working knowledge of accounting and insurance coverages. Good customer service skills are a plus.

  • High School Diploma or GED required however some college or Associates Degree preferred
  • PC skills and keyboarding Working knowledge of 10 key, typing and computers. Prefer knowledge of insurance billing and collections and insurance guidelines.
  • 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.

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