Patient Acct I - Credit Control Rep II

This a Full Remote job, the offer is available from: Colorado (USA)

Title: Patient Acct I - Credit Control Rep II Job

Location: 100% Remote

Type: Contract

Duration: 3 months with possible extension or conversion

Hours: 40/wk

Rate: 25/hr

Start: ASAP

Job Description:

Reviews payments on patient accounts, verifies payments and overpayments and applies to appropriate charges or processes refunds.

Job Responsibilities:

• Resolves both undistributed and credit balance accounts while working from an assigned work list.

• Research all aspects of the claim cycle to identify and correct errors which cause misappropriated funds.

• Documents all actions taken on the electronic patient account. -Verifies payer remittance to apply payments appropriately.

• Utilizes resources to find payment documentation.

• Interprets payer contracts to ensure all codes on patient's account match our contracts.

• Reviews EOB to make sure payments were applied correctly, insurance processes correctly, and the posting is correct.

• Understand how to evaluate payments. -Performs GAP analysis. Processes adjustments and recoups.

• Manages assigned work queue for patient accounts.

• Identifies, researches and proposes solutions to trends.

• Meets productivity and quality goals.

• Provides feedback to management regarding specific problems. -Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.

• Performs other duties as assigned.

Required Skills & Experience:

• One (1) year of medical revenue cycle experience or cash handling in a business environment, including resolving invoicing issues.

• Understanding of complete revenue cycle from patient charge entry to applying payment.

• Strong computer skills including proficiency with MS Office programs including Word and Excel.

• Knowledge of general medical billing, insurance, and compliance regulations and coding.

• Knowledge of medical terminology.

• Understanding of insurance remits.

Preferred Skills & Experience:

• Three (3) years of Hospital/physician billing or claims follow-up and previous Insurance denials, appeals and payment posting experience.

This offer from "Quantix, Inc." has been enriched by Jobgether.com and got a 72% flex score.