Full Time 40 hours Grade 008 Ortho Billing, Collections Schedule 8 AM-4:30 PM Responsibilities Position Summary: Is responsible for resolving aged insurance accounts which have not been collected through billing and routine follow-up activities. Assesses payment probability to determine appropriate collection technique. Typical Duties: Resolves unpaid insurance accounts which have not been paid/rejected within a predetermined period and are impeding the prompt resolution of A/R. Contacts are via correspondence, telephone or meeting with insurance representatives. If unable to resolve insurance problem with third-party insurance for any reason (lack of cooperation, etc.): researches, identifies and contributes to resolution, collaborates with internal payer contracting department and/or files and appeal. . Documents all actions for both patient and University personnel and interact with ancillary areas to secure needed assistance/documentation to meet insurers requirements. Maintains a detailed knowledge of insurance regulations and billing procedures which affect A/R, so as to re-bill accounts correctly. Responds to written and verbal inquiries. Maintains records for effective reporting on both daily and weekly basis. Qualifications Associate's degree in Business Administration and 2 years of hospital patient accounting or consumer collections experience, or certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and experience. Ability to type 25 wpm.
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