. Work well in a high pressure environment.
Well-organized and efficient.
Skilled with computer systems and software.
Skilled at encouraging others and developing rapport.
Self-starting, goal-oriented strategist whose confidence,
perseverance and vision promote success.
Self-motivated and assertive.
Quickly learn procedures and methods.
Professional demeanor.
Pleasant speaking voice.
Organized and efficient.
• Collect and post payments related to billings.
• Account Reconciliation
• Investigate and resolve billing inquiries and discrepancies.
• Collaborate with internal/external sales representatives.
• Establish and maintain strong customer relationships.
• B2C and B2B collections
Checked guests in, Issued room keys, provided information on hotel
services and room locations.
Ensured required identification was taken from guests at check-in in
line with local requirements.
Upsold rooms where possible to maximize hotel revenue.
Issued, controlled, and released guest safe deposit boxes in line with
hotel procedures.
Kept records of customer interactions and transactions, recording
details of inquiries, complaints, and comments, as well as actions
taken.
Resolved customers' service and billing complaints by performing
activities such as exchanging merchandise, refunding money, and
adjusting bills.
Posting payments, adjustments, and denials from all Payers and
patients.
Meeting important deadlines consistently (and especially during
end-of-month/EOB closings.
Reaching or exceeding target goals for productivity.
Notifying manager of any issues that impede efficient & effective
outcome for work.
Following all policies and procedures as outlined by the company,
governmental regulations and HIPPA standards.
Maintaining a consistent workday schedule with occasional over-time
needed. (Especially during EOM closings)
Handle the completion of Patient Financial Services (PFS) tasks,
including patient and payer follow up as needed.
Responsible for the resubmission of primary,secondary and tertiary
claims per respective regulations and policies.
Communicate with third-party representatives as necessary to
complete claims processing and/or resolve.
Follow-up daily on post processing activity but not limited to, rejected
billings, adjustments, rebilling and denied claims for accounts that are
greater than 90 days.
Maintain accounts receivable detail bu use of on-line system
documentation.
Reports productivity results daily to the AR supervisor.
Maintains standards per payer for percentage accounts >90 days.
Meets or exceeds collection goals by payer eachmonth.
Works all assigned accounts at least once every 15 to 30 days
depending on the balance.
Participates in educational activities and attends monthly department
staff meetings.
Maintains confidentiality, adheres to all HIPPA guidelines/regulations.
Other duties as assigned from time to time.
Posting payments, adjustments, and denials from all Payers and
patients.
Meeting important deadlines consistently (and especially durning
end-of-month/EOB closings.
Reaching or exceeding target goals for productivity.
Notifing manager of any issues that impede efficent & effective
outcome for work.
Following all policies and procedures as outlined by the company,
governmental regulations and HIPPA standards.
Maintaining a consistent workday schedule with occasional over-time
needed. (Especially during EOM closings)
Handle the completion of Patient Financial Services (PFS) tasks,
including patient and payer follow up as needed.
Communicate with Patient and Patient Representatives to resolve
healthcare accounts while offering excellent customer service.
Maintain diplomacy when addressing matteres escalated.
Provide thorough, effecient and accurate documentation and updates
in all required systems for each work event.
Responsible for meeting monthly goals and quality standards through
efficent and accurate work porcesses.
Review open accounts to determine and take appropriate actions
through understanding charges, billed claims, payments, denials,
adjustments and refunds.
Respond to verbal and/or written inquiries in a timelymanner.
Process all correspondences with adherence with the HIPPA
guidelines where appicable.
Knowledge, understanding and compliance with applicable Federal,
State and Local laws and regulations relating to job duties.
Knowledge, understanding and compliance with company policies
and procedures.
Maintain knowledge of functionl area and company policies and
procedures.
Provide feedback to management concerning possible problems or
areas of improvement.
Make recommendations to implement improved processes.
Perform other duties as assigned bymanagement.
Handle the completion of Patient Financial Services (PFS) tasks
including patient and payer follow-up as needed.
Verify all CPT codes were booked and billed correctly by reviewing
different payers contracts.
Maintain and release all-ship verified claims for all third party claim
accounts withing established time frame as assigned.
Resolve errors and make claim edits assigned in work queues.
Follow work list prioritazation of accounts resolving and/or submitting
claims.
Contact payers and patients when necessary for PFS processes.
Make necessary adjustments to patient demographic, insurance and
account balance information.
Complete A/R adjustments and request other adjustments where
permitted and appropriate.
Adhere to all regulatory compliance areas, policies and procedures
(including HIPPA nd PCI compliance requirements).
Healthcare Provider CPR (Infant-Child-Adult)
February 2024 to February 2026
Healthcare Provider CPR (Infant-Child-Adult)
February 2024 to February 2026