SUMMARY
Ensures that all ancillary service denials are worked within the time frame defined by the payer.
ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned)
Communication with payers and patients for denials resolution.Denials follow up by payer with a strong emphasis on payer appeal guidelines.Identify and communicate A/R denial trends to AR Manager.Resolve claim holds prior to claim submission.Completion of zero pay report.Work insurance overpayments and patient refunds.Answer billing and payment related questions.SUPERVISORY RESPONSIBILITIES
Not applicable.
Requirements
QUALIFICATIONS
Minimum of two years’ experience working in all areas of collections in a physician practice.Knowledge of medical terminology, ICD 10 and CPT codes.Detail oriented and ability to multi-task in a fast paced environment.Strong knowledge of Microsoft Office applications and payer websites.Athena experience is preferred.Excellent written and oral communication skills as customer service is a major focus at Resurgens!PHYSICAL DEMANDS
While performing the duties of this job, employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear. Employee may be occasionally required to climb or balance, stoop, kneel, or crouch. Employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
WORK ENVIRONMENT
While performing the duties of this job, employee may be exposed to risk of infectious diseases when interacting with patients and/or family members. The employee may be occasionally exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals and vibration. The noise level in the work environment is usually moderate.