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Hospital Billing Account Receivable Follow-up Representative - Chattanooga - Middlesex Health
Description
Position HighlightsDepartment:
Accounts Receivable
Hours:
40.00 per week
Shift:
Shift 1
Position Summary
The Hospital Billing Accounts Receivable Follow-up Representative is responsible for conducting follow-up process activities on outstanding payments through phone calls, online processing, fax and written correspondence, leveraging work queues to organize work efficiently.
Work also includes reviewing insurance remittance advices and resubmitting claims with necessary information. The incumbent will continuously interact with physicians and insurance vendors to investigate outstanding claims and incomplete payments.Essential Duties & Responsibilities
Under Direct Supervision of the Patient Accounts Manager, the Hospital Billing Accounts Receivable Representative will include the following:
Responsible for Identifying and resolving any and all outstanding issues preventing claim resolution for assigned payers
Responsible for working all no response, underpayment, and denial Work Queues
Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
Meets and maintains daily productivity and quality standards established in departmental policies
Maintain a relationship with provider representatives
Update and monitor spreadsheets, projects, and audits with assigned payers
Working knowledge of hospital regulations with regard to methods for payment of accounts and maintain a working knowledge of insurance regulations and hospital insurance contracts
Identify and report underpayments and denial trends
Help cover customer service phone calls as needed
Perform special projects and other duties as needed by the management team.
Maintain confidentiality at all times
Use, protect and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Limit viewing of PHI to the absolute minimum as necessary to perform assigned dutiesAdheres to all Core Values (Compassion, Pursue Excellence, Cooperation and Collaboration, Upholds Honesty, and Supports Innovation).
Adheres to all Absolutes (Privacy and Confidentiality, Professional Appearance, and Responsibility and Commitment).
Other job related duties as assigned.
Minimum Qualifications
Working knowledge of hospital regulations with regard to methods for payment of accounts and maintain a working knowledge of insurance regulations and hospital insurance contracts
Must have a working knowledge of hospital billing systems.
A minimum of 2 years experience in Hospital Accounts Receivables follow up
Ability to analyze, identify and resolve issues causing payer payment delays Initiate appeals when necessary
Ability to multitask, prioritize, and manage time efficiently
Strong interpersonal skills
Outstanding problem-solving and organizational abilities
Preferred Qualifications
Epic hospital billing system knowledge desired
IDX hospital billing system knowledge a plus
Comprehensive Benefits Offered
Competitive and affordable benefits package
Shift Differentials
Continuing Education assistance
Tuition reimbursement
Student Loan relief through Fiducius
Quick commute access from I-84, Route 9 and surrounding areas
About Middlesex Health
The Smarter Choice for your Career
Come join one of Connecticut's Top Workplaces, and a Magnet designated organization At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better.
Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.
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