About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

JOB SUMMARY:

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

1. Account Management

a. Achieve assigned goals (resolutions, account review quality, productivity standards – specified by line of business)
b. Accurately complete patient registration, obtain insurance information, and obtain needed authorizations.
c. Schedule patients, provide patient support, provide clarification on instructions, and ensure patients are booked for the correct procedures.
d. Accurately perform transactions and postings in multiple systems following standard work guidelines
e. Post payments, adjustments, process refunds as assigned.
f. Print and send claims as assigned.
g. Demonstrate knowledge of hospital systems, internal systems, and general accounting principles
h. Assist with queues related to Discharged Not Final Billed, Collection Review, Letter Series audits, Self-Pay review, etc.

2. Compliance/Quality

a. Perform basic auditing functions, assisting leadership with special projects related to achieving project Work Standards
b. Meet and maintain Quality scores >= 91%.
c. Maintain proper work queue management and process, acting where needed per Work Standard guidelines
d. Ensure all accounts are worked within client’s project standards
e. Follow regulations outlined by state, federal, and third-party coverage procedures.

List other important responsibilities that do not meet the ADA “essential” criteria and therefore could be re-assigned to others if a reasonable accommodation cannot be made which would allow a disabled individual to perform those functions.

1. Other duties as assigned

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.