General Summary:
- Under general supervision and in accordance with established policies and procedures, is responsible for daily follow-up functions to secure payment and/or resolve outstanding accounts receivable for one or more of the assigned payer categories: Medicare, Medicaid, Blue Cross and Blue Shield, Commercial/Managed Care, Tri-Care, Worker’s Compensation, Schools, DSS/DJS, and Self-Pay.
- Uses computerized patient information management and Paperless Claim System (PCS) imaging systems to initiate, complete follow up, and update patient accounts with data required for preparation of third-party claims and client statements.
- Post transactions, and bill insurance carriers/client and adjust third-party/self-pay data. Prepare and maintain required documentation.
- The vast majority of this position involves interaction with insurance companies with only a very small percentage involving interaction with clinicians and patients.
Requires:
- High School diploma
- 6 months - 12 months of experience in related billing and health insurance work. Follow-up and Medicaid experience strongly preferred.
- Must have knowledge of billing practices, procedures, collections, third-party payer and Universal Billing requirements, and third-party reimbursement procedures.
Benefits:
At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:
- A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
- Comprehensive medical, dental and vision benefits for benefit eligible positions
- 403b retirement match
- Generous paid-time-off for benefit eligible positions
- Complimentary Employee Assistance Program (EAP)
- Generous mileage reimbursement program
The pay range for this position is $18.50/hr minimum to $26.04/hr maximum. Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.
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