What are the responsibilities and job description for the Account Resolution Specialist position at Scottish Rite for Children?
Our patients are our number one priority! We're committed to giving children back their childhood!
Job Posting Title:
Account Resolution Specialist
Location:
Dallas - Hospital
Additional Posting Details:
Monday - Friday
8:00 am - 4:30 pm
Job Description:
Duties/Responsibilities
Job Posting Title:
Account Resolution Specialist
Location:
Dallas - Hospital
Additional Posting Details:
Monday - Friday
8:00 am - 4:30 pm
Job Description:
Duties/Responsibilities
- Review all assigned accounts to ensure that charges and other relevant information are correct and claims are billed within government and third-party payer guidelines
- Review and resolve credit balances in a timely manner
- Follow-up on all billed claims to ensure timely and accurate payment and disposition of patient accounts
- Verify appropriateness of reimbursement per contractual agreements and resolve discrepancies with payers
- Review payer denial reasons and appeal with supporting documentation for complete reimbursement
- Follow-up with payers and families routinely to provide assistance to expedite payments
- Assist with training and development of account follow-up methods and procedures
- High school diploma or equivalent required
- Minimum of 1 year of patient account follow-up experience in the healthcare field with a clear understanding of contractual reimbursement and adjustments