Description
General Summary of Position
Provides guidance and assists staff with review and analysis of various reports in assigned area. In cooperation with Supervisor identifies and analyzes errors to determine action needed for performance improvement. In conjunction with level II Insurance Specialists assists in researching and addressing administrative customer service issues. Works with all team members to resolve multiple primary and secondary billing collection customer service issues with payers and patients.
Primary Duties and Responsibilities
Education
- High School Diploma or GED required or
- Associate's degree in healthcare preferred and
- courses in Accounting Finance and Healthcare Administration preferred
- One year of relevant education may be substituted for one year of required work experience.
- 1-2 years Experience in patient accounting in a hospital-based department (systems billing medical records registration finance) required or
- Knowledge of medical terminology and payer billing preferred and
- Leadership experience preferred
- One year of relevant professional-level work experience may be substituted for one year of required education.
- Certified Revenue Cycle Specia - CRCSI within 1 Year required or
- Cert Revenue Cycle Prof-Instit - CRCP-I within 1 Year required or
- Cert Revenue Cycle Executive - CRCE-I within 1 Year required or
- Certified Compliance Technician- CCT within 1 Year required or
- Certified Revenue Integrity Professional- CRIP within 1 Year required or
- CHAM - Certified Healthcare Access Manager within 1 Year required or
- CHAA - Certified Healthcare Access Associate within 1 Year required or
- Hospital Presumptive Eligibility- HPE within 1 Year required or
- Cert Healthcare Fin Prof - CHFP within 1 Year required or
- Cert Revenue Cycle Rep - CRCR within 1 Year required
- Detailed working knowledge and demonstrated proficiency in the major (Medicare Medicaid and Blue Cross) payer's application billing and/or collection process with particular focus on billing specifications and contractual arrangements and/or multiple payer's insurance verification and pre-certification guidelines.
- Ability to resolve complex payer issues to completion training individuals in the billing and collection processes.
- Excellent communication and interpersonal skills.
- Excellent organizational skills to manage multiple tasks in a timely manner.
- Proficient use of hospital registration and/or billing systems and Microsoft Word and Excel software applications.
This position has a hiring range of
USD $20.57 - USD $36.27 /Hr.
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