This position is responsible for supporting management in billing and collecting patient accounts associated with inpatient and outpatient facility services, as well as professional services.
Basic understanding of Revenue Cycle, and the importance of evaluating all appropriate financial resources to assist in securing patient accounts to maximize reimbursement for the healthcare system.
Demonstrate billing and collection proficiency of, at least, one specific insurance payer.
Responsible for evaluating and processing correspondences including claim rejections, medical record(s) requests, itemized bills, invoice clarifications, etc.
Analyze insurance claims for accuracy of payments and rejections, as well as properly account for all payments and adjustments.
Monitor accounts for timely follow-up and prompt resolution.
Assist in continuous improvement of accounts receivable while minimizing controllable loss categories, e.g., timely filing.
Assist customers with billing questions and ensure appropriate resolution.
Explain and interpret insurance eligibility rules, guidelines and regulations.
Stay informed of updates to regulatory changes.
Attend periodic meetings regarding various insurance payers to discuss denials, claims processing and other discrepancies, and assist in developing action plans to correct evaluated issues.
Basic computer use - Typing, printing, Email, Instant Messenger, 10-Key
Experience with collection and claims
Critical thinking/decision making
Knowledge of health insurance
Ability to prioritize
Problem solving ability
Ability to work in a team setting
Understand and respect cultural diversity
Fairview Health Services