About the job
Key Responsibilities:
- Oversee comprehensive follow-up and collections processes, including making phone calls and navigating payer websites.
- Identify and analyze issues and trends, providing actionable suggestions for resolution.
- Meticulously document all relevant collection activities conducted.
- Review account details and system applications to determine the next appropriate actions.
- Verify claims adjudication using suitable resources and applications, initiating contact with patients for additional information as needed.
- Execute billing functions effectively, including manual re-bills and electronic submissions to payers.
- Ensure claims are edited to comply with billing regulations for electronic submissions.
- Manage desk inventory efficiently, complete reports, and address high-priority and aged accounts.
- Engage in training sessions, meetings, and in-services to enhance job knowledge and participate in performance evaluation processes with supervisors.
- Respond promptly to emails and phone messages as necessary.
- Communicate relevant issues to management, including payer, system, or escalated account challenges.
