1. Ability to manipulate data in spreadsheets in order to report trends and statuses to Manager.
2. Investigate, determine, pursue, and overturn with accuracy and timeliness denied accounts by insurance payers. Thoroughness and reliability are essential because of the nature of the work and for credibility with the payers.
3. Negotiate and insist accountability with third party payers on accounts through accurate and timely follow-up.
4. Document precisely and timely in contract management software.
5. Utilize available resources (online websites, contract management software, payer contacts) to aid in the expedient recovery of denied funds.
6. Maintain a high level of professionalism while aggressively overturning denied claims by third party payers.
7. Must be flexible, able to work independently and able to achieve deadlines and deliverables with minimal supervision.
8. Perform other duties as assigned by Manager.
9. Read and understand payer explanation of benefits or remittance advice to appropriately resolve denials.
10. Excellent written and oral communication skills.

QUALIFICATIONS /TRAINING:

• Working knowledge of billing/coding terminology (e.e ICD-10, CPT, Revenue Code)
• Working knowledge of Patient Financial Services
• Procedural knowledge of account receivable management
• Understanding of basic revenue cycle
• Excellent interpersonal, written and organizational skill required
• Experience with problem solving techniques
• Minimum of one year healthcare appeals experience is preferred. Minimum of two years’ experience with Excel and Word.

LICENSES/CERTIFICATIONS/REGISTRATIONS/EDUCATION:

• Minimum of a High school Diploma/GED from an accredited school plus 2 years of experience in patient financial services required.

WORK SCHEDULE:

• Full-time, 80 hrs bi-weekly

 

 

Required Skills Required Experience

JOB QUALIFICATIONS

• BS/BA or 1+ years of PSAV or equivalent experience required
• 1 year technology sales or hospitality experience preferred
• Prior sales experience in audiovisual is a plus
• Knowledge of hospitality industry and sales processes preferred
• Technical aptitude and computer proficiency required
• Strong written and verbal communication skills

              

COMPETENCIES (BY CORE VALUES)

• Hospitality
• Responsiveness
• Professionalism
• Decision Quality
• Business Insight
• Collaborates
• Builds Networks
• Plans and Aligns
• Instills Trust
• Demonstrates Self-Awareness

              

PHYSICAL REQUIREMENTS

Team members must be able to meet the physical demands below in order to successfully perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Frequency options consist of: Continuously, Frequently, Occasionally and Never.

 

PHYSICAL REQUIREMENTS

HOURS PER DAY

 

LIFTING REQUIREMENTS

FREQUENCY

Sitting

4-5 Hours

 

Lifting      0 - 15 lbs*

Occasionally

Standing

2-3 Hours

 

Lifting      16 – 50 lbs*

Occasionally

Walking

2-3 Hours

 

Lifting      51 - 100 lbs

Never

Stooping

0-1 Hours

 

Lifting      Over 100 lbs

Never

Crawling

0-1 Hours

 

 

 

Kneeling

0-1 Hours

 

CARRYING REQUIREMENTS

FREQUENCY

Bending

0-1 Hours

 

Carrying      0 - 15 lbs*

Occasionally

Reaching (above your head)

0-1 Hours

 

Carrying      16 – 50 lbs*

Occasionally

Climbing

0 Hours

 

Carrying      51 - 100 lbs

Never

Grasping

0 Hours

 

Carrying      Over 100 lbs

Never

 

 

 

 

 

AUDITORY/VISUAL REQUIREMENTS

FREQUENCY

 

PUSHING/PULLING REQUIREMENTS

FREQUENCY

Close Vision

Continuously

 

Pushing/Pulling      0 - 15 lbs*

Occasionally

Distance Vision

Continuously

 

Pushing/Pulling      16 – 50 lbs*

Occasionally

Color Vision

Continuously

 

Pushing/Pulling      51 - 100 lbs*

Occasionally

Peripheral Vision

Continuously

 

Pushing/Pulling      Over 100 lbs

Never

Depth Perception

Continuously

 

*Identifies the physical requirements that team members perform without assistance.

Hearing

Continuously

 

 

 

 

WORK ENVIRONMENT

HOTEL

Work is performed in a hotel/convention center environment with moderate exposure to outdoor temperatures and to dirt, sand and/or dust.  The working conditions will vary between moderately quiet to noisy volumes.  Team members will use high-end audio visual equipment and electrical components, and will be exposed to heights via lifts and ladders.  Team members may be asked to work in multiple hotel locations.  Working times will include irregular hours and on-call status including days, evenings, weekends and holidays.   Team members must adhere to appearance guidelines as defined by PSAV based on an individual hotel or a representation of hotels in that city or area.  

_ _

The above information on this description is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job.  While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned.