Purpose of Job
This position is responsible for the submission, reconciliation and collection of all accounts receivable for Ridgeview Medical Center. Reports and submits claims to third party payers. Answers inquiries and provides customer service in the resolution of billing issues and account balances. Primary focus is in one of the following areas: Payment posting, collections, accounts receivable management, remittance reconciliation.
Job Functions
Reviews clearinghouse transactions. Reviews rejections for claim corrections, makes appropriate changes, and generates claim for submission or corrected claim.
Reviews aged accounts receivables, monitors and works outstanding insurance claims.
Assures payments are posted accurately and timely to patient accounts.
Answers inquiries regarding insurance and/or billing concerns and follow-up with peer source when needed.
Completes remittance reconciliation.
Assists and refers external customers to proper resources for questions.
Provides professional and courteous customer service to internal and external customers.
Maintains knowledge on insurance companies policies and billing guidelines.
Performs other duties as assigned.
Minimum Education/Work Experience
- High School Diploma or equivalent
- 1-year professional medical billing experience
OR - Performance history with demonstrated ability to problem solve, provide attention to detail, and take initiative
Knowledge/Skills/Abilities
- Demonstrated skills in claim submission
- Ability to meet and maintain the necessary background checks as aligned with position functions
- Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
- Analytical skills
- Ability to respond appropriately to unpredictable situations and diverse patient populations
- Ability to work autonomously and as a team
- Capable of making independent decisions with the use of good critical thinking and problem-solving skills
- Knowledge of basic computer functions and Microsoft Office applications
- Ability to multi-task
- Ability to serve patients in a friendly and efficient manner
- Ability to perform basic math functions
- Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
License/Certification
Preferred Qualifications
- Familiar with medical terminology
Compensation
Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials.
Benefits
Ridgeview strives to provide comprehensive and market competitive benefits to meet the needs of our employees and their families.
Click here to view the benefits available.
Physical Demands
Link to Employee Health Physical Demands
