Respond to patient and third party inquiries; research and resolve simple to moderately complex issues; correct errors and refer complex issues to supervisor.
Review, monitor and resolve delinquent accounts including the compliance with hospital collection policies, completeness of follow-up activities and accuracy of account information.
Processing refunds of over-payments
Ensure internal control compliance with all assigned areas and other audit requirements. Perform reconciliations and application of all patient account remittance processes.
Review correspondence and rejection data from insurance carriers; post rejections, resubmit claims with appropriate corrections and documentation
Handling account enquiries and monitoring denials from payers and making consistent contact with provider representatives to correct claim processing errors and to ensure maximum revenue.
May transfer secondary balances to appropriate financial class and provides documentation for processing the claims. Track and validate submitted claims, unpaid claims and aging accounts
Identify areas or processes for improvement.
Provide scheduled and adhoc report of claims, write-offs and accounts receivable balances. Assist with month-end Close and reporting.
Requirements
College diploma in Accounting or Business Administration is required
Minimum 2 years related cashier/accounting experience in a computerized fast paced organization required
Experience working with computerized accounting systems and experience working with Epic is an asset
Proficiency in Microsoft Office (Word, Excel and Outlook)
Effective verbal and written communication skills interpersonal and customer service skills with the ability to establish effective working relationships
Excellent organizational and time-management skills with the ability to multi-task and meet conflicting demands
Ability to work with minimal supervision
Ability to problem solve and initiate possible solutions