Overview
This role is responsible for managing insurance accounts receivable within a healthcare setting. The position ensures the accuracy and completeness of patient financial, insurance, and demographic information according to established policies and procedures. This enables compliant claim submissions to third-party payers. Key duties include resolving payer denials, following up on claims requiring additional payer response, and overseeing billing and collection of payments across hospitals, outpatient clinics, and employed physician practices.
Responsibilities
- Manage insurance accounts receivable with minimal supervision.
- Ensure accuracy and completeness of patient financial, insurance, and demographic data.
- Submit compliant claims to third-party payers.
- Resolve payer denials and follow up on claims needing additional payer response.
- Oversee billing and collection processes across multiple healthcare facilities.
Requirements
- High school diploma or equivalent.
- Minimum of two (2) years of experience in an office or healthcare-related environment.
- Knowledge of insurance guidelines and billing processes, including claim submission, denial management, and routine follow-up.
Preferred Qualifications
- Prior experience in a healthcare revenue cycle role.
- Familiarity with medical terminology.
- Understanding of CPT/HCPCS codes and revenue coding.
- Completion of college coursework in accounting, business, or healthcare administration.
- Strong verbal and written communication skills.
- Ability to work independently with minimal supervision.
- Excellent organizational and time management skills to prioritize tasks and meet third-party payer requirements.
Additional Information
- Department: Corporate Services, CBO - Credits
- Shift: Day
- Union Code: Not Applicable