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Patient Accounts Rep I - Occupational Health
Franklin, WI
Job Description
Responsible for the timely processing of insurance claims, which includes but is not limited to electronic transmissions, account, and other third-party billing. Conducts prompt collection of accounts receivable by reviewing assigned accounts for problems delaying payment, and by facilitating the effective resolution of problems.Responsible for daily claims submissions (electronic transmittals, personal computer applications and hard copy claims) to the appropriate payer source.Communicates with patients via phone or mail to obtain additional insurance information and interacts with departments/clinics to resolve charging issues affecting the claims.Reports trends with other departments that may improve the claims submission process and accounts receivables.Provides daily productivity statistics to support management analysis of receivables, as defined by Revenue Cycle leadership.Responsible for collection of an assigned section of the accounts receivables, following all policies, procedures and established guidelines.Reviews assigned accounts for the following and takes appropriate course of action, including but not limited to: internal or external problems that may cause a delay in payment; denial, resubmissions to insurance, and billing of patient; partial payments.Contacts insurance companies or any other person, organization or department whose assistance is needed to obtain payment of our claim, until it is paid or rejected.Responds to telephone or written correspondence from insurance companies, employers, state agencies and patients regarding accounts receivables balances. Applies contractual allowances where necessary.Develops relationship with internal and external customers and partners to facilitate payment and to ensure regulatory and contractual compliance.al compliance.Scheduled Hours Monday through Friday 8:00 pm to 4:30 pmKnowledge, Skills & Abilities Required:Good organizational ability, communication skills (written and verbal).A basic understanding of accounting/computerized patient accounting systems.Ability to multi-taskEducation Required:High School Graduate.
Job Summary
Company
Aurora Health Care
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
Open
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