BASIC PURPOSE: The purpose of this position is to bill and collect insurance accounts receivable for multi-payer sources.
ESSENTIAL RESPONSIBILITIES:
Prepares and sends claims monthly to payers for dialysis services rendered at our CDC clinics via an electronic billing system.
Analyzes Accounts Receivable to ensure timely payment is received for claims billed. This includes root cause analysis, contact with payers (via phone or paper/electronic status inquires), ensuring patient responsibility is properly and timely identified.
Follows and reports status of delinquent patient accounts to the Director of Patient Accounts and Chief Financial Officer
Works on various revenue collection projects/duties as assigned
EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS:
High school diploma required, some college accounting courses or other field related continuing education
Knowledge of electronic billing systems preferably Quadex is required.
At least 3 years’ experience in a Healthcare Accounts Receivable setting is essential
Excellent customer service, interpersonal and communication skills required
Knowledge of medical billing/collection practices
Knowledge of business office procedures
Knowledge of basic medical coding and third-party operating procedures and practices
Ability to establish and maintain effective working relationships with patients, employees and the public
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