Full Time 40 hours Grade 008 Neurosurgery Billing 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. This entails maintaining a detailed knowledge of insurance regulations and billing procedures which affect A/R, so as to rebill accounts correctly. 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.): Advises supervisor who has option of filing a formal complaint with state regulating commission and changes the account to a self-pay financial class, advising patient and responsible collection specialist. Documents all actions for both patient and University personnel and interact with ancillary areas to secure needed assistance/documentation to meet insurersâ™ requirements. Responds to patient written and verbal inquiries. Responsibilities include utilizing and understanding CPT and ICD manuals, as well as other Neurosurgery coding materials. Maintains records for effective reporting on both daily and weekly basis. Responsible for special projects as needed and attending relevant meetings as required. 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.
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