This is a fully remote position, open to applicants in United States.

📋 Description

• Ensure timely follow-up on claims while adhering to contractually binding conditions.

• Conduct daily reviews of denials and payment discrepancies identified on Explanation of Benefits (EOB), Remittance Advice (RA), or Payer Correspondence.

• Identify denial trends, provide necessary documentation and data, and suggest process improvements to resolve issues.

• Review the system work-list and report daily to address accounts that have not been paid within 30 days of claim submission.

• Accurately document activities in a timely manner on the patient account.

• Maintain follow-up procedures and foster working relationships with departments such as Health Information Management (HIM) and/or Patient Access.

• Verify newly received status information and update the patient account accordingly.

• Ensure compliance with all state and federal billing regulations and report any suspicious activities to the appropriate parties.

• Collaborate with the department on process improvements to enhance efficiencies and achieve overall objectives.

⛳️ Requirements

• Preferred Associate's Degree.

• Required High School Diploma or GED.

• Minimum of 2 years of experience in Patient Accounting, specifically in billing, collections, customer service, or cash application.

• Preferred 1 year of working knowledge of Microsoft Office Applications, Medical and Managed Care Contract terminology, and demonstrated understanding of Revenue Cycle procedures.