Responsibilities include reviewing and following up on self-pay and insurance accounts and working credit balances. Additional duties include but not limited to working correspondence and assisting with training new employees.

Responsibilities:

• Follows up on claims and returns phone calls promptly.
• Meet the productivity expectations established by the Business Office Manager.
• Enters and works account reminders in Meditech.
• Processes A/R maintenance transactions in Meditech.
• Works mail and correspondence daily and responds as necessary.
• Assists with answering incoming calls and/or walk-in customers, when needed.
• Understands managed care contracts.
• Appeals claims that are not paid correctly according to Managed Care contracts.
• Supports hospital department policies, department director and hospital administration.
• Lends knowledge and assistance to other hospital departments, physicians’ offices, and co-workers.
• Communicates effectively, expresses ideas clearly, actively listens, and follows appropriate communication channels.
• Adapts and cooperates with changes in assignments, procedures, and personnel.
• Uses supplies and equipment properly and economically, and reports necessary repairs promptly.
• Acknowledges errors promptly and notifies appropriate personnel so that corrections can be made if necessary.
• Cross-train for other Business Office Duties as assigned.
• Performs other related duties as assigned.

Required Skills

• High School graduate or equivalent.
• Must have skills necessary to operate the office equipment required to fulfill job.
• 2 - 5 years experience in hospital insurance collections processing commercial and managed care claims preferred.
• Computer knowledge, including knowledge of Microsoft Office, required.
• Experience working with Meditech strongly preferred.
• Good communication skills essential.
• Responds to telephone and on-site inquiries from patient in a courteous, timely, and informative manner.
• Must be able to work independently with minimal supervision.
• Work comp (Subscriber and non-subscriber) knowledge beneficial.

Required Experience