*Description*
Summary:
Coordinates and monitors all aspects of Patient Financial Services daily functions, including billing compliance and accounts receivable functions. Responsible for the assigned area�s claims submission, payment application, denial management, and account follow-up to ensure optimal reimbursement.
Responsibilities:
1. Accurately processes claims, payments, rejections, refunds, credit balances and unapplied cash on a daily basis and performs timely follow-up. 2. Confirms electronic and hard-copy billing of any delinquent claims. Rebills and follow-ups of all delinquent claims. 3. Responds to all patient and payer inquiries, denials, correspondence and telephone inquiries. 4. Advises other areas of updated insurance information and claim denials, i.e., registration. 5. Follows through with education of rules and regulations in the managed care system, as well as State & Federal guidelines. 6. Adjusts account balances to specific account needs. 7. ...