Overview
Provides timely submission for government and non-governmental payers, including self-pay for assigned facilities. Provides follow-up on all claims to ensure timely receipt of payments, resolves outstanding account balances, researches and writes appeals, and works with aging reports.
What you will do
Manages assigned portion of AR to resolve outstanding account balances utilizing reports and appropriate electronic tools, performs timely follow-up on all insurances, identifies issues and trends and reports to management. Creates a detailed narrative each month regarding aged accounts.
Acts as a liaison between the business office and all front end locations and insurance companies.
Completes the claim work queue daily. Reviews government, non-government, and Self Pay claims for accuracy.
Performs claim follow-up and submits adjustments.
Follows up on zero pay remittance and works the aging report. Resolves outstanding balances.
Responds and resolves patient inquiries and/or issues.
Responds to insurance company requests for information.
May research and write appeals on denied accounts.
May enter ancillary charges.
Qualifications
Education
High School Diploma or GED, (Required)
Bachelors Degree, Business Administration, Accounting, Finance or related field (Preferred)
Experience
2 years Customer Service or Revenue Cycle experience (Required)
1 year Billing/Insurance Follow-up (Preferred)
Licenses and Certifications
To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.