Job Description

Description

:
  • Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.
  • Verifies completeness and accuracy of billing data and revises any errors.
  • Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration.
  • Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines.
  • Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations.
  • Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines.
  • Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account info...
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