Overview
This role is responsible for managing insurance accounts receivable within a healthcare organization. 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. The role involves 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
- Familiarity with medical terminology preferred
- Understanding of CPT/HCPCS codes and revenue coding preferred
- Knowledge of insurance guidelines and billing processes, including claim submission, denial management, and routine follow-up
- Strong verbal and written communication skills
- Ability to work independently with minimal supervision
- Excellent organizational and time management skills
Preferred Qualifications
- Prior experience in a healthcare revenue cycle role
- Completion of college coursework in accounting, business, or healthcare administration
Additional Information
- Department: Insurance Recovery
- Shift: Day
- Union Code: Not Applicable