What are the responsibilities and job description for the Patient Financial Rep - Denials position at CaroMont Health?
Job Summary: The objective of the Patient Financial Representative (Denials) is to ensure accurate and timely follow up of Medicare, Medicaid, other government, commercial, managed care, and worker’s compensation denied claims. . The primary function of this role is to follow up on accounts that have denied in order to secure resolution in a prompt manner that follows all government and commercial/managed care payer rules and regulations. Representatives will use work queues to proactively follow up on denied accounts via telephones, fax and on-line systems and written communications. This may include but will not be limited to patient contact, payer contact, interdepartmental contact, and physician office communications.
Qualifications: High School diploma or equivalent required with at least 6 months prior billing and/or collection experience; hospital experience preferred. Strong conversational and analytical skills required. Must have knowledge of insurance principles and practices. Ability to interact with payers in an assertive yet tactful manner. Data entry ability.
EOE AA M/F/Vet/Disability