- Department: Patient Access- Administration
- Day Shift
- Bachelors degree is preferred
Specializes in the optimal reimbursement of patient accounts including investigative research, collection duties, and complex account follow-up. Position has a major impact on converting accounts receivables into cash and accurately recording contractual adjustments impacting financial statements. May communicate extensively with management in other departments, insurance companies, governmental agencies, patients, physician offices and co-workers to collect and process information relative to claims payment. Performs account reconciliations and analysis requiring calculation of basic and complex calculations including: multiple reimbursement methodologies within one account, stop loss, DRG groupers, APC calculations, coordination of benefits, insurance accounts receivables (IAR’s), fee schedules, and patient liability. Uses a variety of resources and information systems to extract, enter, and analyze data, including the UB-92 editor, ICD-10, and CPT-4 reference guides. Responsible for all other duties as may be necessary to ensure timely payments of accounts receivable.
Education: Must be a High School or GED Diploma Graduate. Bachelor’s Degree preferred.
Experience: Minimum of 4 years of experience in accounting, insurance, collections or other related field.
Certification/License/Registration: Must be CPAR or obtain CPAR within 2 years of assuming position.