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Role Description

Responsible for processing patient accounts. Duties may include one or more of the following:

• Processing insurance payments
• Following up on denied claims
• Resolving credit balances

Typically works in no more than two functional areas.

Qualifications

• Experience with hospital insurance denials and follow up or Work Comp is required.
• High school diploma or equivalent.
• No experience required.

Requirements

• Processes the insurance component of a patient's obligation using the third party claims processing and payment rules.
• Bills claims appropriately.
• Follows up on denied claims by performing appeals and denial recovery procedures.
• Works denied claim lines and no response claims to resolve outstanding accounts.
• Analyzes credit balances on patient accounts and resolves.
• Responds to refund request letters from insurance carriers.
• Performs other duties as assigned.

Benefits

• Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: instant access to earned, unpaid base pay through DailyPay (fees may apply).
• Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members.