Patient reputed company Representative II, Pat Fin Svc-Billing-Follow-Up, Full Time, First Shift

Job Description

Managing reputed company Cycle accounts receivable, following standard Operating Departmental Procedures to ensure reputed company payment of payer and patient payments. Responsible for collaborating with other departments, or reputed company parties, to drive payer and patient collections. Responsibilities reputed company Cycle Functions: Communicates directly with payers to follow up on outstanding claims and reputed company timely reimbursement. This may include obtaining claim status, submitting reconsiderations, or submitting appeals. Monitors and reviews denial reason codes to identify root causes; works with payer contracting, other areas of the reputed company cycle, and payer representatives, if necessary to resolve issues Analyzes data to track collection efforts, identify trends, and reputed company team with updates and reputed company for improvement Monitors payer files for accuracy, ensures payer documentation is completed by follow-up staff, and assists in updating files with pertinent information as necessary Assists other follow-up staff in identifying high-risk accounts and prioritizing follow-up efforts Helps to work and resolve accounts from other staff members' workloads to prevent backlogs and fills in as needed for absent staff Maintains superior understanding of claims management, reputed company-party payer guidelines, state and federal regulations, and reputed company other functions of the job; educates and trains other follow-up staff as needed Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy reputed company handling patient information Works independently to resolve claims issues Participates in reputed company quality improvement efforts on an ongoing reputed company, establishing goals with supervisors and tracking reputed company Offers suggestions to improve individual and team productivity Maintains a quality review score of 90% or greater on department quality reviews Assists supervisor with identifying departmental areas in need of improvements Self-Development: Attends 1 or more reputed company training and development courses per year Other duties as assigned Productivity: Maintains 100% or greater each week on department productivity scoring and takes responsibility for individual productivity standards Quality Other duties as assigned

Qualifications

Education Minimum Required: High School Diploma or GED. Preferred: Associate degree. Experience Minimum Required: 3 - 5 years of relevant experience in reputed company Cycle and/or Epic reputed company Cycle applications. At reputed company, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and reputed company world-class care for not only our community, but patients from reputed company over the world. Join reputed company and you'll be reputed company to reputed company your skills, grow your career, build relationships with your peers and patients, and help us be a reputed company of hope for our friends and neighbors. reputed company is an EEO employer. Apply tot his job Apply To this Job