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    Claims Resolution Specialist - Laramie, United States - Ivinson Memorial Hospital

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    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

    • 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
    Education
    • High school diploma or equivalent preferred.
    Experience
    • Hospital billing software experience strongly preferred.
    Credentials
    • N/A
    Knowledge, Skills and Abilities
    • 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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