Requirements:
Typing: 35-40WPM and 2-3 years experience with all Microsoft Office suite i.e. Excel, word, Power point etc.
Summary:
A/R collection beginner level of knowledge of IBMI
Job Responsibilities:
- Attends work on a regular and predictable basis
- Performs other duties and responsibilities as assigned
- Obtain payer requirements for timely adjudication of claims
- File claims with appropriate documentation attached
- Pursue, maintain, and communicate payor coverage / guideline changes / updates
- Process all incoming and outgoing correspondence as assigned
- Verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company
- Help facilitate interoffice communication on error and denial trends
- Initiate the review / appeals process on disputed claims
- Research credit balances and initiate refunds as required
- Document all activity in customer's computer account
- Answer Accounts Receivable phone inquiries
- Work assigned RBCO reports
- Available to assist other PACs with questions or collection needs
- Acts as liaison between staff and management
- Perform other duties as assigned
Qualifications:
- Knowledge of telephone etiquette and adequate oral and written communication skills
- Shows effective multi-tasking skills
- Positive and cooperative attitude in working and communication with individuals at all levels of the organization
- Knowledge of medical field preferred
Education and Experience:
- High School Diploma or General Education Degree (GED) required
- Has at least 3 yrs and/or knowledge equivalent experience
- Past performance shows solid evidence of insurance qualifications and guidelines