Support Patient Financial Services by reviewing outstanding claims, performing timely follow-up with payers, correcting claim errors, and ensuring accurate reimbursement.
Assist in reducing aging accounts receivable and addressing workflow backlogs.
Responsibilities:
Claims Follow-Up: Review aging accounts, contact insurance payers (commercial, Medicare, Medicaid, Managed Care, etc.), and document payer responses and next steps.
Claims Resolution & Corrections: Correct and resubmit denied/rejected claims, research missing information, obtain medical records, and resolve billing discrepancies.
Account Documentation: Maintain detailed notes of actions taken, update account statuses, and escalate complex issues to management.
Internal Communication: Collaborate with internal departments to resolve claim-related issues and notify management of payer trends or concerns.
Productivity & Compliance: Meet productivity and quality standards while adhering to HIPAA, hospital policies, and billing compliance guidelines.
Work Environment:
Office or remote, depending on expertise.
Standard work hours: Monday–Friday, 8:00 AM–4:30 PM (PST), with flexibility based on workload.
Fast-paced, high-volume environment requiring high productivity.
