Responsible for processing insurance claims for assigned facilities in a timely manner and ensuring review and collection of payments from insurance agencies and patients. This role supports the revenue cycle by collaborating with insurance agencies, the facility, and patients to resolve claim-related issues, denials, billing discrepancies, and reimbursement concerns.
Key responsibilities include:
- Process assigned claims and follow up daily to reduce denials and non-payment.
- Review insurance correspondence, research issues, and make corrections to support proper claims payment.
- Research and follow up on denials and complete rebill requests when needed.
- Explain insurance benefits to patients, collect payments, and help resolve account balances.
- Assist patients with payment plans when appropriate.
- Monitor contracts and single-patient agreements to support appropriate reimbursement.
- Review EOBs for proper reimbursement and respond to inquiries from patients and insurance companies.
- Manage projects related to collecting outstanding claims and perform collection actions, including contacting third-party payers and patients by phone.
- Eligible for a $1,500 sign-on bonus after meeting employment requirements.
Requirements & Qualifications
High school diploma or GED required; vocational technical school graduate preferred.
- 1-3 years of related work experience required; 3-5 years preferred.
- Understanding of billing requirements for commercial payers and Medicaid.
- Knowledge of Explanation of Benefits (EOB) and Remittance Advice.
- Understanding of UB04 and CMS 1500 claim forms.
- Knowledge of Microsoft Excel and Word.
- Basic medical coding knowledge and familiarity with third-party operating procedures and practices.
- Strong communication skills and the ability to interact professionally and courteously with patients and coworkers.
Benefits & Perks
Competitive compensation
- Excellent medical, dental, vision, and prescription drug plan
- 401(k) plan with company match
- Generous paid time off
- Growth and development opportunities within UHS and its subsidiaries
- Challenging and rewarding work environment
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago