Claims Processing, Credit Reports, Customer Support/Service, Detail Oriented, Electronic Medical Records, Financial Services, HIPAA (Health Insurance Portability and Accountability Act), Insurance, Insurance Claims, Medical Record System, Problem Solving Skills, Reporting Skills, Time Management
Serves patients and staff by providing timely assistance and information regarding accounts and claims.
Job Duties:
- Responsible for daily reviewing and working claims edits and reports
- Review claims for accuracy and readiness for submission
- Submitting insurance claims to various payers electronically and/or paper
- Working on claims submission system to release clean claims to payers
- Review and work denial management system to resolve payment issues
- Follow-up on delayed claim payments by calling insurance companies
- Working credit balance report to resolve overpayments
- Dealing with patients and family members accounts and making payment arrangements
Education:
High school diploma or GED required. Associates degree preferred.
Training/Experience:
Previous Experience is Highly Desired.
Skills/Qualifications:
- Telephone etiquette
- EMR/EHR Experience
- Customer Service
- Insurance payer requirements
- HIPPA compliance
- Attention to Detail
- Knowledge of Claim Submission Process
- Quality Focus
B
Bleckley Memorial Hospital