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Job Duties Include: Ensures prompt and timely payment of submitted invoices. Follows up on invoices submitted to ensure prompt and timely payment and escalates issues as necessary. Evaluates payments/denials received for correctness and ensures that they are applied appropriately. Identifies bad debt write-offs and A/R adjustments. Initiates write-off and adjustments in accordance with policies and procedures. Ensures that secondary bills and patient invoices are accurately generated and submitted on a timely basis. Identifies any overpayments and/or duplicate payments, and investigates and resolves. Processes refund requests, in accordance with policies and procedures. Adheres to Regulatory / Payor Guidelines and policies & procedures.
- High School Diploma or equivalent.
- Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
- Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
- Previous Infusion Reimbursement or Intake/Admissions experience.