New York, New York, New York
Miami, Florida, Florida
Birmingham, Alabama, Alabama
Grand Junction, Colorado, Colorado
Tampa, Florida, Florida
Spokane, Washington, Washington
Sharon, Connecticut
Grand Junction, Colorado, Colorado
Sioux Falls, South Dakota, South Dakota
Columbia, Missouri, Missouri
San Antonio, Texas, Texas
Castle Point, New York, New York
Richmond, Virginia, Virginia
Odessa, Texas, Texas
Fredericksburg, Virginia
Fairbanks, Alaska
El Paso, Texas, Texas
Temple, Texas, Texas
Fredericksburg, Virginia
Posted: 08-Nov-24
Location: Alamogordo, New Mexico
Categories:
Internal Number: REIMB002937
- Reviews payer EOB?s but not limited to payment accuracy, patient liability, and appeal grievances
- File appeals on underpayments
- Forward appeal letters to scanning
- Generate reports from the Managed Care module to identify issues but not limited to underpayments, total charge adjustments, missing calculations, and contract accuracy
- Generate reports from the Managed Care module to assist management identifying payer problem accounts
- Create a monthly Medicaid HMO underpayment report for the CFO
- Process incoming mail correspondence from payers within 3 business days.
- Follow up with the payer via phone and/or the website as needed
- Enter detailed notes explaining account activity in the Patient Accounts system including expected payment calculation
- Identify payer trends for resolution
- Report payer trends to the Director and/or Assistant Director of Patient Financial Services
- Assist the Reimbursement Specialist when needed
- Respond to patient inquiries within 2 business days
- Respond to interdepartmental inquiries within 2 business days
- Respond to payer requests within 2 business days
- Respond to emails within 2 business days
- Maintain courtesy and respect at all times when working with internal and external customers
Requirements
Education
Required:
High School
Licenses & Certifications
Preferred:
C-Heartsaver