Posted on Jul. 14, 2017
Hours: Monday to Friday 8:00 am to 4:30 pm
The goal of the Account Resolution Specialist l is to successfully collect on aging medical insurance
claims, either in the office or at the client site.
Foundation Knowledge, Skills, and/or Abilities Required: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Duties and Responsibilities:
- File claims using all appropriate forms and attachments.
- Research account denials and file written appeals, when necessary.
- Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
- Research account information to determine the necessary attachments or supporting documentation to send with each claim.
- Ensure the integrity of each claim that is billed.
- Document in detail all efforts in CUBS system and any other computer system necessary.
- Verify patient information and benefits.
- Appeal accounts in writing.
- Draft letters to clients.
Additional Duties and Responsibilities:
- Meet specified goals and objectives as assigned by management on a regular basis.
- Maintain confidentiality of account information at all times.
- Maintain awareness of and actively participate in the Corporate Compliance Program.
- Assist with other projects as assigned by management
- Maintain good working relationships with state and Federal agencies.
- Resolve accounts in a timely manner.
Educational/Vocational/Previous Experience Recommendations:
- High school diploma or equivalent is required.
- Formal training in the specialty of Insurance Billing preferred.
- Knowledge of all insurance payers preferred.
- Proficient PC knowledge and the ability to type 30-40 wpm.
- Professional written and verbal communication skills.
- Capacity to prioritize multiple tasks in a busy work environment.
- Organization and time management skills.
- Capability to present oneself in a courteous and professional manner at all times.
- Ability to stay on task with little or no supervision.