Job Summary   

• Identifies status on unpaid 3rd party claims in a timely manner.        


• Uses most effective tools to obtain status so that effectiveness and productivity are maximized.    


• Communicates payment expectations and removes payers stall tactics in a firm but professional manner.        


• Reports problem accounts and/or consistent slow payers to management and provides examples.        


• Involves the patient and/or insured to obtain information needed by payers to process the claim.  


• Conducts three-way calls between patients and payers to address obstacles in getting claims processed.        


• Obtains, or assists in obtaining, any additional documentation needed by a payer to process a claim.        


• Works with their billing partner to identify trends in billing errors, so the edits can be developed to increase clean claim rate.        


• Accurately and thoroughly documents all pertinent events regarding the account.        


• Demonstrates and encourages team behavior and exceptional patient/guest experiences.    


• Upholds and promotes patient safety and quality.