Job Description

 RESPONSIBILITIES

• Interact with, understand and update programs used to manage patient accounts.
• Review Payer/Provider contracts to determine if they are being interpreted and administered appropriately.
• Review and interpret Payer/Provider contracts with clients for use in supporting expected reimbursement calculations for system resolution.
• Report any detected trends in underpayments or denials to Supervisor.
• Review Payer remittance advices to determine correct payment amounts and patient responsibilities.
• Maintain confidentiality at all times.
• Maintain a professional and courteous approach when communicating with insurance companies and co-workers.
• Maintain a current working knowledge of all healthcare related issues and regulations including insurance company practices regarding reimbursement.

 QUALIFICATIONS

• 2 years of healthcare experience - office/coding/billing. Hospital setting preferred.
• Knowledge of the revenue cycle process
• Ability to interpret and discuss insurance EOB and payments and UBs
• Understanding of ICD-9/ICD-10, DRG, CPT, and HCPC

Company Description

Parathon is a fast-paced work environment that develops and services software in the healthcare industry. Parathon’ s core products help hospitals and physician practices manage the entire revenue cycle process. Parathon specializes in assisting the healthcare industry with managed care revenue recovery, revenue cycle and denial management as well as an array of business office services. Parathon is a rapidly growing company with a fast-paced work environment. Our vision is to create innovative solutions that surpass industry standards and foster continuous success and growth of our client organizations!