SUMMARY OF POSITION:
Responsible for working and collecting outstanding accounts receivables due from patient and insurance carriers. Responsible for submitting claims for primary, secondary and appealed claims. Responsible for timely clean claims processing to ensure positive cash flow for all entities managed by Provision Health Partners to include the Provision Center for Proton Therapy, Provision Radiation Therapy Center, and Provision Diagnostic Imaging Center.
Reviews and submits clean claims daily to insurance carriers through the clearinghouse
Manages outstanding accounts receivables
Prepares written appeals for reconsideration to insurance companies
Manages denied and partially paid claims for proper processing by the carrier
Identifies and resolves patient billing issues
Prepares, reviews and electronically submits patient statements monthly
Evaluates patient’s financial status and establishes budget payment plans
Works closely with the finance team with patient care coordination
Minimum of two years’ experience working in a medical office/healthcare facility within their billing and collection department primarily working outstanding accounts receivable claims.
HS Diploma/GED or Associates/Bachelor’s Degree.
Certified Coder a plus
Meeting or exceeding collections budgets monthly
Timely clean claims processing
Collaboration with teammates and related departments