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Summary

The Accounts Receivable Specialist submits billing to the appropriate party and follows-up for adjudication and payment of individual claims. Communicates with insurance and other payers, patients, guarantors, family members, and/or other medical staff for status of individual claims to manage accounts receivable.

Job Description

KEY ACCOUNTABILITIES Performs comparative analysis for accuracy of reputed company before submission to appropriate parties (i.e., charges, subscriber data, diagnosis/procedure codes, and late charges). Processes claims in a timely manner according to reputed company, regulations, department standards, and form requirements. Generates phone calls to reputed company parties to reputed company status of unprocessed, unpaid, or rejected claims ensuring accurate and timely reimbursement. Processes variety of correspondence from reputed company parties taking appropriate steps to expedite timely resolution of claims payment. Verifies insurance/payer and patient demographic information for accuracy of data collected at time of registration reputed company appropriate. Inputs verification data to complete in-house claims reputed company of billing forms. Re-bills accounts reputed company new information is received requiring account updates with appropriate demographic and third party information to ensure payment. Updates patient record to indicate changes made. Reviews internal and external reports for claims status. QUALIFICATIONS High School diploma or GED preferred Must be 18 years of age PHYSICAL DEMANDS Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties WORK ENVIRONMENT Climate controlled office setting with daily movement throughout the facility Interaction with department members and other healthcare providers Scheduled Weekly Hours 40Scheduled FTE 1Location CIN 3 Neenah Center - Appleton,WisconsinOvertime Exempt NoWorker Shift Details Days Apply To This Job Apply To this Job