Responsible for reviewing accounts to ensure accurate reimbursement. Identify payor issues affecting payment delays and follow-up with Managed Care. Contacts patients and other third party payor organizations to secure payment or arrange alternative payment/settlement plans. Identifies problem delinquencies and recommends their disposition. Independently interacts with federal, state, third party payors, agencies, physicians, departmental directors and outside related vendors.
High school diploma or equivalent is required. At least 1 years of hospital experience dealing with insurance companies, 3 years preferred. Knowledge of payor guidelines and contracts are required. Experience in appeals with third party payors, resulting in reimbursement is a plus. Must have working knowledge of computer, calculator and general office equipment. 10-key experience . On-line Medicare/Medicaid and Commercial verification is preferred.