Atlantic Health System
Responsible for managing assigned AR and collection of outstanding balances from patients and third parties for durable medical equipment claims. Responsibilities include, but are not limited to:
Review AR reports.
Prioritize work based on age and balance of accounts to avoid timely filing denials.
Review correspondence and EOBS and take appropriate action.
Maintain a follow-up system to assure accounts are brought to conclusion in a timely manner.
Submit appeals and corrected claims as necessary.
Prepare and submit payor projects.
Maintain open communication with patients to keep them informed of any issues with their claims.
Request necessary information from patients and physicians to expedite claim processing.
Negotiate prompt pay discounts.
Request adjustments, transfers and reversals with the proper justification.
Identify accounts that need to be sent to collections in a timely manner.
Communicate payor trends to management.
Working knowledge of DME medical policies.
All other duties as deemed necessary.