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 year 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.