Patient Financial Services Reimbursement Specialist

Responsibilities

• Accurately processes claims, payments, rejections, refunds, credit balances and unapplied cash on a daily basis and performs timely follow-up.
• Responsible for daily completion and correction of information for claims edit lists and rejections.
• Responds to all patient and payer inquiries, denials, correspondence and telephone inquiries.
• Provides immediate access to explanation of benefits (EOB's), reports and other information as requested.
• Offers guidance and training and provides performance input to Level I staff member's if requested.
• Supports the Team Leader in monitoring the accuracy and completion of the cash application process.
• Identifies departmental problems associated with procedures, system functionality, staff training and education, and reimbursement issues. Makes recommendations to management for improvement and resolution.
• Performs trend analysis for management in order to determine registration & documentation deficiencies throughout the organization.
• Adheres to all policies and procedures related to federal, state and department compliance for the position.
• Maintains and Model the Organization’s values.
• Demonstrates regular, reliable and predictable attendance.
• Performs other duties as required.

Qualifications

• High School Graduate or Equivalent required.
• Data entry, MS Excel and customer service experience required.
• One year minimum experience in billing and collections required.
• Medical Terminology, billing, cash applications and collections experience desired.