Correspondence Coordinator in Pinehurst, North Carolina at FirstHealth of the Carolinas

This position is responsible for the processing of correspondence received in the Patient Accounts Department to include, but not limited to direct contact with Insurance companies for follow up on requests for information for payment of claims, processing zero payment correspondence and routing mail to the appropriate employees.

This position maintains accurate records and reports of all correspondence from outside companies. Meet standards of quality as measured by departmental and facility performance improvement processes.

1. Retrieval/Sorting/Distribution of Correspondence (Mail) within the patient accounts department on a daily basis

2. Scanning and Indexing correspondence into scanner equipment on a daily basis

3. Batch posting of insurance payment denials into computer on a daily basis

4. Generating and mailing insurance carrier requests (itemized bills, insurance claim forms, etc.) on a daily basis

5. Scanning Explanation of Benefit documents into scanner on a daily basis

6. Requests, procures, provides information or forms required by third party payers to complete claims processing for payment.

7. Researches and corrects erroneous insurance information, via Blue E, patient, employer, etc.

8. Insures contractual adjustments are appropriate and correct. If not, adjusts accordingly.

9. Insures correct account status, based on information obtained or received, by resequencing insurance plans, dropping insurance plans, recycling billing, etc.

10. Informs and educates other collectors, billers, etc. When new or updated information is received during the course of performing job duties.

11. Enters appropriate codes and comments on accounts for tracking and historical purposes.

12. Reports to supervision identified patterns of incorrect or incomplete registration information, billing errors, coding problems, etc.

13. Advises patient of responsibilities and duties in obtaining payment from third party payers.

14. Reports to appropriate authorities third party payers that are stalling or delaying payments, or making payments that are not in accordance with contractual terms or obligations.

15. Maintain competencies in all areas of departmental policies and procedures.

16. Maintains departmental records, reports, and files as required and in an organized manner.

17. Responsible for providing superior customer service to all customers encountered

18. To meet or exceed departmental and individual goals. To motivate and assist others in their processes as needed.

19. Maintain accurate and descriptive on line notes of all correspondence and conversations from patient or other source.

20. Maintain competencies related to major job functions for age-specific population, periodic performance evaluations, and patient satisfaction and complaint issues.

21. Perform other related duties as assigned or requested.

Education and Formal Training: High School graduate and preferably two years’ associate degree in business-related field,

Work Experience: 2 years clerical experience preferably in a healthcare related field.

Knowledge, Skills, and Abilities Required: Strong communication and customer service skills required. Ability to research account information and work independently. Ability to perform multiple tasks in an organized manner. Standard knowledge of computer functions and ability to operate standard office equipment.

Special Conditions: Work is sedentary. Must be able to meet deadlines and projected goals. Must be willing to work in a team-oriented environment. Near visual acuity is necessary for constant review of patient accounts and correspondence.