- Contacts payers to follow up on claims status and obtain reimbursement.
- Re-bills claims with applicable corrections.
- Receives payments from patients and provides customer service as needed.
- Addresses discrepancies in charges, payments, adjustments, and demographic information.
- Researches all accounts with credit balances and processes refunds.
- Other duties as assigned.
- Qualifications
- High school diploma or equivalent preferred.
- Hospital billing software experience strongly preferred.
- N/A
- Knowledge of third party billing procedures strongly preferred.
- Knowledge of claims review and analysis strongly preferred.
- Knowledge of Medicare, Medicaid and HMO contracts strongly preferred.
- Strong working knowledge of Microsoft Office applications.
- Excellent customer service skills, including but not limited to: a friendly personality, tact, patience, empathy and a helpful, professional attitude both in person and on the telephone.
- Ability to effectively communicate with staff, managers and the general public verbally and in writing.
- Demonstrate effective listening skills.
Excellent organization and time management skills and ability to establish priorities effectively. - Possess exceptional problem-solving skills.
- Ability to work effectively without immediate supervision.
- Ability to learn new computer software programs.
- Ability to recognize and protect confidential information.
- Demonstrate ethical and legal accountability for the position.
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Claims Resolution Specialist - Laramie, United States - Ivinson Memorial Hospital
Description
At Ivinson Memorial Hospital we are committed to excellence, trust, healing, and integrity.We pride ourselves in providing compassionate, world-class care to our community. At Ivinson we offer a competitive total rewards package including; full medical, dental, and vision insurance, retirement plans, paid time off and tuition reimbursement opportunities. Ivinson aims to improve the care provided for our patients and create a work-life balance for our employees by creating a culture of transparency, teamwork, accountability, and trust.
Base Salary Starting At: $17.30
Essential Functions