Financial Specialist (Collections) - Institutional Review Board
About The Position
The Financial Specialist is responsible for billing and collection activities, which may include verification of insurance, pre-certifications, deposits and reconciliation of co-pays and self-pays, updating financial information in appropriate software applications and providing information on billing matters. Responsibilities Ensures claim edits and accounts receivables are resolved in an efficient and timely manner. Monitors collections for Institutional Review Board. Resubmits claims for payment with appropriate updates and documentation as needed. Responds to patient and third party inquiries; researches and resolves problems; corrects errors and refers most complex issues to supervisor. Reviews correspondence and rejection data from insurance carriers; posts rejections and balances in appropriate financial classification. Transfers secondary balances to appropriate financial class and provides documentation for processing the claims. Reviews Credit Letter Sent (CLS) and transfers balance to appropriate financial class and dunning level. Prepares and submits referring physician updates and other major dictionary or master file request to supervisor for approval. Assists Billing Manager with the training of new hires. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Performs other related duties
Requirements
- High School graduate or equivalent.
- Advanced medical billing and computerized billing system training.
- 3 years healthcare billing experience working with CPT and ICD (coding and CCI edits.
- Electronic claims processing preferred.
Responsibilities
- Ensures claim edits and accounts receivables are resolved in an efficient and timely manner.
- Monitors collections for Institutional Review Board.
- Resubmits claims for payment with appropriate updates and documentation as needed.
- Responds to patient and third party inquiries; researches and resolves problems; corrects errors and refers most complex issues to supervisor.
- Reviews correspondence and rejection data from insurance carriers; posts rejections and balances in appropriate financial classification.
- Transfers secondary balances to appropriate financial class and provides documentation for processing the claims.
- Reviews Credit Letter Sent (CLS) and transfers balance to appropriate financial class and dunning level.
- Prepares and submits referring physician updates and other major dictionary or master file request to supervisor for approval.
- Assists Billing Manager with the training of new hires.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Performs other related duties
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
