Summary: Performs all functions related to the timely follow-up and collection of third party patient accounts, in accordance with State and Federal rules and regulations and hospital policy and procedure. Responsibilities: • Reviews reports from insurance companies/government payers for possibility of resubmission • Resubmits, bills patient, or writes-off as appropriate • Files appeals on rejected services within filing deadline • Follows-up on unpaid third party accounts by telephone and/or tracer within time frames and guidelines set forth in hospital policies and procedures • Prepares rebilling as necessary • Reviews correspondence received from third party carriers, etc, and responds before insurance company deadlines • Makes request for medical records when necessary • Reviews payments on accounts for accuracy • Contacts insurance carriers if payment is less than quoted benefits to resolve balance responsibility • Calculates or recalculates contractual allowances and corrects as necessary • Corrects Managed Care discounts, employee discounts, etc. as necessary after recalculating discount • Documents all insurance activity in computer system • Demonstrates competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of members served by the department • Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age specific and other developmental needs of each member served Requirements: • High School Diploma Work Schedule: 8AM - 5PM Monday-Friday Work Type: Full Time