SUMMARY: Research and resolve third party accounts outstanding for 60 days and over.  Identify and review problem accounts with department supervisor and manager

ESSENTIAL DUTIES AND RESPONSIBILITIES:   

·         Follow up on all third party open accounts as assigned.

·         Respond to all payor requests.

·         Identify billing problems.

·         Work internal projects.

·         Learn payor rules and regulations.

·         Run detailed Accounts Receivable as assigned by supervisor.

·         Be the focal point for identifying problems.

·         Notify supervisor/manager of any payor changes so the Accounts Receivable follow-up department can apprise other departments.

·         Handle overflow calls from Patient Services area as needed.

·         Complete findings reports after reviewing accounts to provide detailed information on outstanding A/R

·         Adhere to all company policies and procedures.        

·         Perform other duties as assigned.

MINIMUM QUALIFICATIONS:

·        High School Diploma or General Education Degree (GED); 1 - 2 years experience in third party billing; knowledge of Medicare, Medicaid, and Blue Shield rules and regulations; knowledge of PC applications (MS Office.)

·        Excellent communication skills both on the telephone and personally.  Ability to read general business information.  Ability to compose general correspondence.  Ability to effectively present information and respond to questions from all levels of contact. 

·        Ability to add, subtract, multiply and divide in all units of measure.

·        Ability to problem solve moderate to highly complex problems without supervision and to make recommendations to management regarding highly complex problems.

·        Organized, detail oriented with excellent follow through abilities.  Can handle and prioritize multiple tasks.  Reliable, team-oriented, pleasant with excellent interpersonal skills. 

·        Effective oral, written and interpersonal communication skills.