Coordinates and manages billing and collection functions for all payor types.
Notifies physician offices of contract periods, identifies and monitors accounts, determines correct reimbursement, bundles all bills for submittal to insurance companies, rebills claims as necessary, follows up on claim status, performs regular account maintenance, and collects and distributes payments appropriately.
Researches insurance benefits, options, and potential patient financial needs, then discusses findings with patients and their families.
Develops financial plans with patients and their families.
Works with patients to develop resolutions to potential patient financial out-of-pocket exposure and helps them plan for and overcome these obstacles.
Obtains all necessary payer authorizations.
Verifies and monitors coverage and other medical benefits and acquires necessary referrals and authorizations.
Ensures that all payor approvals are current at all times.
Physical requirements include mobility throughout the day, mostly sitting, lifting up to 5 lbs of patient charts, and reaching to file or retrieve charts or manuals. Must be able to communicate with other groups and departments.
Bachelor's degree in Accounting, Finance, or a related field, or 5 years of insurance-related experience.
1 to 2 years of reimbursement experience in a hospital setting preferred.
Must be able to work independently and possess strong organizational, time management, and interpersonal skills.
Must be able to prepare and analyze financial reports.
Must be proficient with medical terminology and familiar with clinical considerations as they relate to transplant cases.
Requires extensive analytical skills, strong attention to detail, and excellent written and oral communication skills.
Microsoft Excel, Word, STAR, and IDX experience required.
Databases, hospital registration, billing, and clinical systems preferred.
Location
Charlotte, North Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago