Ridgeview Medical Center
This position is responsible for the submission, reconciliation and collection of all accounts receivable for Ridgeview Medical Center. Reports and submits claims to third party payers. Answers inquiries and provides customer service in the resolution of billing issues and account balances. Primary focus is in one of the following areas: Payment posting, collections, accounts receivable management, remittance reconciliation.
Reviews clearinghouse transactions. Reviews rejections for claim corrections, makes appropriate changes, and generates claim for submission or corrected claim.
Reviews aged accounts receivables, monitors and works outstanding insurance claims.
Assures payments are posted accurately and timely to patient accounts.
Answers inquiries regarding insurance and/or billing concerns and follow-up with peer source when needed.
Completes remittance reconciliation.
Facilitates collection's process.
Provides professional and courteous customer service to internal and external customers.
Maintains knowledge on insurance companies policies and billing guidelines.
Performs other duties as assigned.
Minimum Education/Work Experience/License Certifications
High school graduate or equivalent
1 year professional billing experience
Attention to detail
Demonstrated skills in claim submission
Ability to respond appropriately to unpredictable situations and diverse patient populations
Ability to work autonomously and as a team
Capable of making independent decisions with the use of good critical thinking and problem solving skills
Knowledge of basic computer functions and Microsoft Office applications
Ability to multi-task
Ability to serve patients in a friendly and efficient manner
Ability to perform basic math functions
Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
Familiar with medical terminology
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