Job Details

Follows established departmental policies and procedures, objectives, and Quality Improvement and Safety programs. Responsible for payer specific caseload(s) i.e. Medicaid, Commercial, etc. Interprets and explains to patients/guarantors their associated charges, services, and hospital policies regarding payment both insurance and private responsibility. Serves as relief for Admitting Clerk and Emergency Registration when needed. Electronically bills primary payers. Files secondary claims. Reconstructs claims when necessary or insurance information becomes available. Makes written and/or verbal inquires to payers to reconcile patient accounts. Works denied claims, A/ R reports, and corrections in a timely manner to assure maximum reimbursement. Works accounts with payer credits and prepares information for Business Office Manager to review. Prepares accounts for adjustments i.e. insurance, timeliness issues. Enhances professional growth and development through participation in education...Billing Specialist, Billing, Specialist, Office Manager, Healthcare