Overview
This role involves managing account activities related to unpaid claim status, either electronically or by phone. The position requires working with third-party carriers or intermediaries and following standard operating departmental procedures to ensure prompt payment of hospital claims for assigned financial classes and payors. Collaboration with other departments is essential to drive payer collections and communicate process issues and improvements to the Patient Account Lead.
Responsibilities
- Monitor and manage unpaid claim status through electronic systems or phone communication
- Work with third-party carriers or intermediaries to resolve claim issues
- Follow standard operating procedures to pursue timely payment of hospital claims
- Collaborate with other departments to enhance payer collections
- Communicate process issues and suggest improvements to the Patient Account Lead
- Participate in revenue cycle performance activities
- Maintain productivity and quality standards
- Engage in training and self-development opportunities
- Contribute to project work and perform other duties as assigned
Requirements
- High School Diploma or GED required; Associate's or Bachelor's degree preferred
- Minimum of 3 years of relevant experience in medical billing and/or collections
Location
Cincinnati, OH, United States