Maintains knowledge of payor contract guidelines and resolves inconsistencies in payor compliance with contract terms, conditions, and rates. Researches insurance and patient credit balances/adjustments to ensure accuracy of transactions and appropriate distribution of funds due to patients or insurance companies. Prepares all applicable documentation for review and approval before checks are processed by accounting for return to patients and/or insurance companies.
High School Diploma or GED-Required
Practice Management, business office background is required. 2 or more years of superior customer service skills. Knowledge of Medicare/Medicaid/CMS Requirements. Thorough knowledge of applicable reimbursement, and medical practice accounting methodologies. Excellent organizational and time management skills. Above average telephone, communication and diplomacy skills.
Certifications, Licenses and Registrations
HSHS and affiliates is an Equal Opportunity Employer (EOE).