POSITION SUMMARY/RESPONSIBILITIES

 Responsible for reviewing accounts to ensure accurate reimbursement
Identify payor issues affecting payment delays and follow-up with Managed Care
Contacts patients and other third party payor organizations to secure payment or arrange alternative payment/settlement plans
Identifies problem delinquencies and recommends their disposition
Independently interacts with federal, state, third party payors, agencies, physicians, departmental directors and outside related vendors

EDUCATION/EXPERIENCE

 High school diploma or equivalent is required
At least 1 years of hospital experience dealing with insurance companies, 3 years preferred
Knowledge of payor guidelines and contracts are required
Experience in appeals with third party payors, resulting in reimbursement is a plus
Must have working knowledge of computer, calculator and general office equipment
10-key experience
On-line Medicare/Medicaid and Commercial verification is preferred.