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.
QualificationsDescriptionMinimum RequiredPreferred / DesiredExperience 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 n/a Reporting RelationshipsDoes this position formally supervise employees?No
If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.