Job Description:
• Work complex to intermediate payer denials requiring entry level understanding of payer reimbursement methodologies and billing guidelines
• Identify and resolve denials through research, appeal, correcting and rebilling claims
• Verify and update insurance coverage using EHR tools, payer websites, or phone calls
• Process late charges using the late charge functionality
• Generate and release complex itemized statements and medical records.
• Identify payer plan issues and work with SBO leadership to address them
• Support Lean principles of continuous improvement with energy and enthusiasm
• Deliver customer service and/or patient care in a manner promoting goodwill, timeliness, efficiency, and accuracy
Requirements:
• High school diploma or GED required
• Two to three years of applicable banking, finance, or related healthcare experience required
• Course work in medical terminology or other revenue cycle functions preferred
• Course work in Microsoft Office applications preferred
• Certified Healthcare Financial Professional (CHFP) preferred
• Certified Revenue Cycle Representative (CRCR) preferred
• Certified Specialist Account and Finance (CSAF) preferred
• Certified Specialist Payment and Reimbursement (CSPR) preferred
• Registered Health Information Technician (RHIT) preferred
• Certified Coding Specialist Physician Based (CCS-P) preferred
• Certified Coding Associate (CCA) preferred
• Certified Coding Specialist (CCS) preferred
• Certified Outpatient Coder (COC) preferred
• Certified Inpatient Coder (CIC) preferred
• Certified Professional Coder (CPC) preferred
• Certified Professional Biller (CPB) preferred
Benefits:
• This temporary position is not eligible for benefits.