Clm Resltion Rep II, Hosp/Prv

Performs follow-up activities designed to bring all open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. Resolves moderately complex claims.

Responsibilities

Performs follow-up activities designed to bring all open account receivables to successful closure; Responsible for an effective claims follow-up to obtain maximum revenue collection; Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims; Resolves moderately complex claims; Edits and reviews In-Patient and Out-Patient accounts to ensure completion, accuracy, and reflect the patient's financial responsibility; Interviews patients and/or responsible parties; may establish financial arrangements for charges; Processes commercial insurance claims when applicable; Refers to collectors for payment arrangements, if appropriate; Retains responsibility for patient bills until paid in full; May coordinate and/or train lower level staff as required; Other duties as assigned.

Requirements

High School diploma and 2 years of related work experience required; Or equivalent combination of education and experience; Remote location must be within 2 hours of RTP and within New York State.

Benefits

Remote options available after in-person training