Job Details:

To submit and/or follow-up on all claims for HealthAlliance for multiple payors.

Responsibilities:

Demonstrates proven abilities to effectively process, analyze and resolve a multitude of billing issues on multiple payers. Works independently and makes sound decisions when necessary. Exhibits strong problem-solving skills, as it relates to the billing and follow-up of claims. Responsible for filing insurance claims for multiple third party payers. Addresses any edits pertaining to billing correctly and accurately; reporting repetitive edits to management for system correction. Makes the necessary corrections to accounts in Accounts Receivable system and electronic software. Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong worth ethic and exhibits optimism. Adheres to the department dress code policy and maintains a professional appearance and positive attitude. Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected and rebilled successfully. Follows up on unpaid or denied claims for multiple payers. Actively works on assigned worklist incorporating high dollar report and denial report into the daily responsibilities. Proactively addresses problems and issues encountered in billing or follow-up in order to resolve accounts in a timely manner. Stays informed on all rules and regulations governing billing and reimbursement of multiple 3rd party payers. Utilizes tools available including websites, payer meetings, educational seminars and provider reps. Processes credit card balances and issues refund requests where appropriate. Promotes positive relationships among co-workers. Communicates effectively within the department and keeps management informed on key issues. Performs other duties as assigned. Requirements/Qualifications:

Education:

High School diploma

Experience:

One year minimum experience in a clerical capacity that includes working with large sums of cash preferred. Previous public contact experience. Excellent communication skills.

Training/License:

None Specified

Other:

Written and verbal communication skills.

About Us:

HealthAlliance Hospital

Benefits:

We offer a comprehensive compensation and benefits package that includes:

Health Insurance Dental Vision Retirement Savings Plan Flexible Savings Account Paid Time Off Holidays Tuition Reimbursement

 

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