Community Health Systems Business Office Lead - A/R in Sarasota, Florida

Description:

  • Resource to other insurance reimbursement specialists

  • Set a positive example for other insurance reimbursement specialists as it relates to job performance and expectations

  • Working knowledge of all facets of insurance claim filing, requirements and regulations

  • Maintain work queue in ClaimIQ daily to ensure timely follow up

  • Research account specifics to complete necessary follow up actions

  • Contact insurance payors via telephone on aged/delayed claims for resolution

  • Contact patients/insurance companies on unresolved claims

  • Communicates with all parties in a professional manner and provides explanations regarding the account(s)

  • Ensure confidentiality of all patient accounts by following HIPAA guidelines

  • Adheres to compliance of CMS and other payor guidelines

  • Responsible for being aware of the current department policies and procedures

  • Posts any denials received from insurance payors

  • Post adjustment requests and explanations timely as identified

  • Meet or exceed quality and quantity benchmark targets as established by management (productivity, AR days, Cash Collections, Bad Debt, Past Due Follow Up)

  • Communicate daily with management on payor trends identified

  • Flexibility to assist with insurance follow-up based on need regardless of payor

  • Maintain complete and accurate follow up actions in ClaimIQ/DAR

  • Attend in-services, education sessions and department meetings as scheduled

  • Performs other duties as assigned

Qualifications

--[if !supportLists]· --[endif]High school diploma or equivalent

--[if !supportLists]· --[endif]Minimum one year experience as anInsurance Reimbursement Specialist

--[if !supportLists]· --[endif]Working knowledge of the revenue cycle

--[if !supportLists]· --[endif]Working knowledge of medicalterminology and/or insurance claim filing experience

--[if !supportLists]· --[endif]Detail oriented, analytical and abilityto problem solve

--[if !supportLists]· --[endif]Excellent written and oralcommunication skills

--[if !supportLists]· --[endif]Working knowledge of Microsoft Word andExcel or equivalent

Job: Business Office Support

Organization: Shared Services Center - Sarasota

Location: FL-Sarasota

Requisition ID: 1737474