Basic Description: Ensures that each one insurance and self-pay funds, changes, and denials are posted to facilitate well timed, correct management of accounts receivable. Organizational, communication (written, verbal and private), drawback fixing, prioritizing and choice-making expertise are routinely utilized in on a regular basis actions. There’s minimal supervision and applicable initiative have to be taken to finish tasks by the deadlines given.
Important Duties/Duties: To carry out this job efficiently, a person should be capable of carry out every important obligation satisfactorily. The necessities listed under are consultant of the information, talent, and/or capacity required. Affordable lodging could also be made to allow people with disabilities to carry out the important features.
- Receives and data all acceptable strategies of funds acquired to the suitable affected person or non-affected person accounts.
- Processes 835 remittance information and balances appropriately.
- Identifies and posts applicable changes, reductions and denials to accounts when warranted.
- Processes insurance refunds as decided by Biller.
- Balances every day cost batches with deposits by means of accounting.
- Researches and resolves any out of stability points
- Scans, archives and information all deposit paperwork appropriately and in a retrievable and accessible method.
- Investigates unidentified funds and resolves them promptly.
- Processes self- pay credit score balances appropriately.
- Prepares day by day bank deposits.
- Prepares month-to-month Swingbed and SNF statements.
- Receives questions from clients relating to accounts and both solutions or refers them to the suitable biller for help.
- Different particular tasks and duties as assigned
Qualifications and Expertise
Qualifications:
- Schooling: Excessive Faculty Diploma/GED required
- Expertise: Two years of billing expertise is desired
o Should have logic and reminiscence to make sure that the suitable motion is taken on accounts.
o Information of cashiering rules and insurance cost strategies together with recognizing applicable adjustment and low cost quantities.
o Should have the ability to use a 10 key.
o Possesses good time management expertise.
o Has good accounts receivable expertise.
o Velocity and a spotlight to element.
o Expertise in hospital or doctor medical cost processing.
o Medical Terminology – information of medical procedures.
- Licensure: N/A
- Certifications: N/A
- Pc Expertise: Expertise with the next pc purposes is very desired: Microsoft Workplace merchandise (Outlook, Phrase, Excel), Kronos; Replicon; Web, Intranet, and hospital or doctor accounting system.
- Background Examine:
o Should have the ability to cross a background examine required by RCW 43.43.830-840 to work with youngsters underneath the age of 16, developmentally disabled individuals or weak adults
o To be able to adjust to provisions set forth in Sections 1128 and 1156 of the Social Safety Act, all new staff of Inland Imaging Enterprise Associates shall be checked towards the LIST OF EXCLUDED INDIVIDUALS offered by the Division of Well being & Human Providers, Workplace of the Inspector Basic (OIG). Staff should not be included on this listing.
- Drug Check: Eligible staff should have the ability to move a submit-supply, pre-employment drug check.
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