POSITION SUMMARY/RESPONSIBILITIES
Responsible for follow-up on high-dollar accounts to ensure members are compliant. Investigates accounts to identify any unusual issues affecting payment delays and follows up with appropriate parties. Contact patients and other third-party payor organizations to secure payment or arrange alternative payment/settlement plans. Identifies problem delinquencies and recommends their disposition.
EDUCATION/EXPERIENCE
A high school diploma or equivalent is required. At least one year of experience dealing with insurance companies, 3 years preferred. Must have knowledge of calling insurance, inquiring about outstanding claims, notation of accounts, resolving payor issues, and reconciling payments per contract. Must have knowledge of payor contracts and be able to demonstrate them during the interview. Experience in the appeal process with third-party payors, resulting in reimbursement. Online Medicare/Medicaid insurance verification is preferred. Designated cash handlers must successfully complete the Patient Services Cashier course and be designated as a Patient Services Cashier during the initial probationary period.