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Purchasing Agent

Jennie Stuart Health

Purchasing Agent

Hopkinsville, KY
Full Time
Paid
  • Responsibilities

     JOB SUMMARY

    The Patient Financial Services Follow-up Specialist will be responsible for maintaining follow-up functions within the department

     

    ESSENTIAL FUNCTIONS

    • Examines and manages underpaid and overpaid claims to determine reasons for discrepancies.
    • Communicates directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement.
    • Works and monitors daily follow-up queues assigned.
    • Resolves and follows up on challenging, problematic, and unresponsive accounts as necessary; escalates critical or ongoing issues to Supervisor.
    • Analyzes data to track collection efforts, identify trends, and provide team with updates and ideas for improvement.
    • Maintains a thorough understanding of rules, regulations, and requirements specific to billing in order to promote compliant claims submission practices.
    • Observes best practice processes in billing, follow-up and customer service activities.
    • Collaborates with leaders and staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department.
    • Thoroughly documents all interactions with payers.
    • Performs general Business Office duties.
    • Completes other tasks and projects as assigned.

    Required Skills

    ORGANIZATIONAL EXPECTATIONS

    • Proficiency in Microsoft Word and Excel.
    • Knowledge of payer policies, regulations, and the legal environment within which they operate.
    • Ability to investigate and analyze information and draw conclusions on complex issues.
    • Ability to work on multiple projects/initiatives at a time.
    • Ability to communicate effectively, both orally and in writing.
    • Ability to foster a cooperative work environment.
    • Knowledge of claims review and analysis.

    Required Experience

        EDUCATION REQUIREMENTS

    • High school diploma or equivalent is required.
    • Associate’s or bachelor’s degree in healthcare, business, or related area is preferred.

     

     

        REQUIRED EXPERIENCE

    • A qualified candidate should have a minimum of 3 years of relevant experience in medical collections or medical billing.
  • Qualifications

    ORGANIZATIONAL EXPECTATIONS

    • Proficiency in Microsoft Word and Excel.
    • Knowledge of payer policies, regulations, and the legal environment within which they operate.
    • Ability to investigate and analyze information and draw conclusions on complex issues.
    • Ability to work on multiple projects/initiatives at a time.
    • Ability to communicate effectively, both orally and in writing.
    • Ability to foster a cooperative work environment.
    • Knowledge of claims review and analysis.