This position requires a person who is well organized and demonstrates ability to efficiently enter data. An understanding of basic accounting is a requirement as well as the ability to resolve problems (e.g. insurance claims) and work under limited supervision. May be delegated additional responsibilities or special assignments by Business Office Manager.
Knows and adheres to all policies of the Hospital
Checks all primary claims for correct insurance mailing addresses, authorizations, claim forms, correct charges.
Files/Reviews all claims as well as follow up on unpaid claims
Enters payments and adjustments. Follows up with appropriate action on deposits such as changing bill types, sending statements, research and refilling for correct payment.
Identifies and files all secondary claims in a timely manner
Secures payments on problem claims by making collection calls
Receives, screens, and routes incoming calls in a professional manner
Electronic charge transmission daily; receives and processes electronic mail
Prepares refund edit and collection edit
High School Graduate/Associates Degree in Business Preferred
Excellent communication skills
Good Organization habits
Knowledge of accounts receivable and processing health insurance claims
United Surgical Partners International