Senior Account Reimbursement Specialist (PB Insurance Collections)
New
V
Vanderbilt HealthHealthcare revenue cycle
Source API remote eligibility restrictions: United StatesFull-TimeSenior
Salary not disclosed
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Job Details
- Experience
- 4 years
- Required Skills
- Data entry
Requirements
- Have 4 years of relevant work experience.
- Hold a high school diploma or GED.
- Apply knowledge of revenue-cycle processes for tracking patient care from registration and scheduling through final payment.
- Use coding knowledge to assign and interpret ICD-10-CM/PCS classification systems and MS-DRG and APR-DRG payment and severity systems.
- Enter information accurately into electronic systems according to written and verbal instructions.
Responsibilities
- Coordinate billing and follow-up between the organization, payers, and patients.
- Process claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances.
- Access and correct demographic, insurance, and financial information as needed.
- Maintain accurate account records and documentation.
- Serve as a liaison with insurance companies, third-party payors, and administrative personnel.
- Analyze incoming financial data to identify, reconcile, and resolve patterns resulting in erroneous or no reimbursement.
- Research patient account inquiries and payer denials, and report appropriate corrective action plans.
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