|Job Location||East Tenn|
JOB DESCRIPTION OVERVIEW:
This position is responsible for processing credit balances, recoups, adjustments and unidentified payments for Anesthesia groups. Maintains accuracy and production.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
§ Processes guarantor, Medicare, Medicaid, Champus, Federal, and specific other situations for all groups to determine who is to be refunded;
§ Reviews and works all credit reports assigned within compliance guidelines;
§ Assembles appropriate documentation to validate refunds and forward to senior for approval;
§ Handles telephone inquiries regarding overprovisions;
§ Handles correspondence related to credit balances according to written procedures;
§ Contacts insurance carriers/guarantors as necessary on credit balances, offsets and unidentified payments;
§ Maintains completion of sign off logs reflecting monthly goals are being met to stay within compliance guidelines;
§ Reports any consistent errors identified that affect accounts from being processed correctly;
§ Research unidentified payments and offsets to determine the appropriate application of payments identified;
§ Responsible for maintaining all policy and procedures;
§ Turns to Supervisor for unusual circumstances that may include refunds, offsets, unidentified, etc;
§ Performs all duties as directed by management.
QUALIFICATIONS / EXPERIENCE:
§ High school diploma or equivalent required;
§ Previous medical billing experience preferred;
§ Excellent communication skills both oral and written;
§ Good computer skills;
§ Ability to meet deadlines;
§ Regular and predictable onsite attendance;
§ High level of interaction and teamwork.