Wage Range: $20.57 - $32.92 per hour
Plus a 15% Per Diem Differential.
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Job Summary:
Responsible for a variety of office/clerical tasks relating to claims processing; contacts patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection.
Primary Duties:
- Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts.
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Evaluates PPO/HMO insurance payments received to ensure accurate reimbursement and contractual write-offs.
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Verifies eligibility of insurance coverage prior to patient visit.
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Contacts payor websites to obtain claim status.
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Re-bills claims when necessary, having knowledge of HCFA 1500, UB-92s and the required data necessary for payment of claims.
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Performs all research necessary to resolve problem claims.
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Advises manager of possible trends in inappropriate utilization (under and/or over), and other quality of care issues.
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Maintains frequent and regular contact with supervisor and seeks assistance, supervision or consultation when appropriate.
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Performs other duties as assigned.
License, Certification, Education or Experience:
REQUIRED for the position:
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Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts.
-
Evaluates PPO/HMO insurance payments received to ensure accurate reimbursement and contractual write-offs.
-
Verifies eligibility of insurance coverage prior to patient visit.
-
Contacts payor websites to obtain claim status.
-
Re-bills claims when necessary, having knowledge of HCFA 1500, UB-92s and the required data necessary for payment of claims.
-
Performs all research necessary to resolve problem claims.
-
Advises manager of possible trends in inappropriate utilization (under and/or over), and other quality of care issues.
-
Maintains frequent and regular contact with supervisor and seeks assistance, supervision or consultation when appropriate.
-
Performs other duties as assigned.