Summary:
Review and resolve outstanding A/R accounts to ensure activities regarding patient accounts are reviewed and resolved in a timely and thorough manner, ultimately resulting in full payment on the account. This description is not intended to be a complete list of duties.
Responsibilities:
Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned areaMaintains required core competencies. Complies with set Policies and Procedures (i.e. name tag, dress code, parking, smoking, etc.) Reviews payer EOB’s but not limited to payment accuracy, patient liability, and appeal grievances.Work 60 accounts dailyFiles appeal on denied claims and/or forwards to the Nurse Auditor for reviewProcess incoming mail correspondence from payers within 5 business days....