Provide quality, timely, courteous service, and optimum maintenance of patient accounts, including dissemination of information, billing services, follow-up, and collection of accounts receivable, bad debt, governmental, and contract compliance issues/guidelines MINIMUM EXPERIENCE: 2 years of experience in hospital business office, insurance claims processing, physician office billing and/or hospital admitting and PC/CRT PREFERRED EXPERIENCE: 3 years recent in hospital business office. Basic medical terminology; working knowledge of third-party payors, federal, state, and local billing regulations; and bilingual (English and Spanish) Shift: Days Hours: 8am to 5pm Required Skills: General Functions: · Demonstrates required skills for communication with various health insurance providers · Possesses moderate billing knowledge, with the ability to perform remittance review and analysis · Follows-up on secondary insurance billing, Medicaid appeals and denials and commercial appeals · Identifies late charges and credit corrections · Adds insurance profiles · Communicates appeals to insurance company regarding denials • Handles discounts, clinical pre-certification issues Department/Business Unit Functions: · Verifies eligibility from various insurance agencies · Retrieves patient accounts · Addresses letters from Medicare, works with prompt pay issues · Makes insurance follow-up calls · Performs corrections and updates to the insurance master · Files, faxes, copies and performs other clerical duties · Performs data entry, work processing and correspondence duties · Performs special projects as assigned · Utilizes resources efficiently and effectively · Maintains safe environment • Participates in Performance Improvement activities