Are you interested in becoming part of an outstanding team of professionals who make patient and family-centered care their priority? We currently have the following opportunity for an energetic, skilled, and compassionate individual like you to become part of the Lake Health team.
Follows up and investigates claims unpaid, not properly or fully paid, or denied. Performs reprocessing of claims to primary and second payer sources and patients.
Processes all accounts receivable and maintains days outstanding within acceptable limits. Implements and performs all collection procedures according to regulations and guidelines established by policy.
Essential Job Functions:
Conducts follow-up on problem and/or outstanding accounts, supplies additional information requested and initiates phone calls, correspondence, etc. for collection of outstanding accounts. Performs basic billing functions including correcting errors and communicating with departments as needed.
Meets department targets regarding productivity and claim resolution. Review payor denials to ensure timely re-processing of claims to primary and secondary payor sources. Batches and transmits claims electronically to specified payors.
Corrects and re-submits claims as needed. Handles all follow-up requests from payors.
Generates and reviews reports indicating accounts requiring follow up and/or claims requiring billing edit review. Maintains financial record as active until account is paid in full or settled.
Processes patient statements.
Catalogs and processes patient accounts determined to be aged accounts as bad debt. Coordinates with Supervisor of Billing and Collections, other department staff and collection agencies to resolve aged accounts. Consults with Supervisor of Billing and Collections and coordinates financial payment schedules for private pay and delinquent accounts.
Prepares a variety of correspondence accurately and timely (e.g. collection letters, legal action papers, information requested by payer, etc.). Maintains filing system to facilitate efficient retrieval of materials. Performs other related clerical duties as assigned or requested.
Communicates with internal and external customers to resolve claim and receivable issues as needed.
Other duties as assigned.
Education and Experience:
High school diploma or equivalent.
0-3 years of billing, insurance follow-up credit and collection experience, customer service, or similar service in acute care, home care or physician office setting. May include medical insurance billing experience. Knowledge of medical terminology preferred.
Proficient in use of PC and Microsoft applications.
Excellent interpersonal skills to effectively interact in person and over the telephone.
Ability to perform multiple tasks and appropriately set priorities.
Excellent organizational skills.
Medical billing software experience preferred
Lake Health offers free, secure and convenient parking; an aggressive pay structure, tuition reimbursement and continuing education funding programs, a generous and comprehensive benefits package for all eligible positions which includes medical, dental, vision, pension, paid time off; an award winning hospital system recognized for excellence in patient care and as a "Best Place to Work." Apply on-line today at http://www.lakehealth.org/Careers
Key Words: Billing, Collection, Patient Accounts, Claims