Finance

Follows up on all assigned accounts within the billing systems in accordance with pre-established goals.

• Initiates proactive measures that result in account resolution.

• Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect. 

• Ensures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class, authorization/certification/information, claims address, ICD-10 and CPT-4 coding, patient insurance eligibility, patient benefit coverage, and patient responsibility

• Writes appropriate notes in the system for every account, including any action taken.

• Meets daily and weekly productivity standards.

• Responds timely and accurately to all incoming correspondence and inquiries from payers, patients, and other appropriate parties.

• Initiates contact with patient, as necessary.

• Initiates recommendations and action plans for resolving accounts.

• Evaluates accounts to determine any write-offs or corrections required, including duplicate charges.

• Handles in a professional and confidential manner all correspondence, documentation, and files.

• Attempts to locate patient/guarantor through direct contact, letter, or other means.

• Receives and answers inquiries or complaints concerning self-pay accounts; gathers information for timely resolution of issues.

• Speaks with patient/guarantor to find third-party sponsorship, settlement, or to begin

• charity process.

• Prepares correspondence to patient/guarantor, as necessary.

•  Establishes payment arrangements according to preset guidelines