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Admin Clerical in Morgan Hill,California
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Business Office Coordinator

San Jose Behavioral Health San Jose Full-Time
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ESSENTIAL FUNCTIONS:

Responsible for verification and interpretation of insurance benefits and establishing financial arrangements with guarantor/patient. 

Estimate patient out-of-pocket and make financial arrangements with guarantor/patient.  Post payment and follow up with claims. 

Prepare and review all billing forms to ensure accuracy and completeness for claims submission to insurance carriers and back up for Medicare and Medicaid claims.

Process claims electronically or hard copy with 100% accuracy and mail claims to insurance carriers timely.

Enter documentation and adjustments through computer system to maintain a correct account balance.

Update system information according to correspondence received and processed.  Document any changes and submit to appropriate staff.

Review charge summaries on each patient bill that is produced and identify discrepancies with 100% accuracy.

Consistently apply appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.

Initiate appropriate follow-up and collection calls.

Review remittance advice statements for payments and adjustments on a daily basis and initiate appropriate data entry for patient charge or account discrepancy on review.

Identify denial and pending reasons and investigate, resolve and initiate information to secure reimbursement.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

High school diploma or equivalent required.  Must have at least 3 years' experience in related field.  Must have extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid.

 

Skills required

Time Management
Administration
Use Telephone
Provide Logistical Support
Problem Solving
Provide Service
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Job ID: 15401ae3449e4a1280c2d9306abb544a

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San Jose Behavioral Health is an 80-bed inpatient mental health facility in northern California where adult men and women, and adolescents can receive comprehensive inpatient treatment for a range of behavioral and mental health disorders. Conveniently located in the heart of San Jose and easily accessible to residents in Santa Clara County, San Mateo County, and Alameda County, our campus is situated amid gently rolling hills and features serene views of our beautiful natural surroundings.

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