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Job Requisition: REQ3985

Employment Type: Full-Time Shift: Days

Hours: 8am-4:30pm

Hours Per Week: 40 hours

Hiring Range: $19.64-$26.28

The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities: • Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures. • Determines financial responsibility for services to be provided. Notifies patients and/or practitioners of any services requested and/or referred that are not authorized by insurance. • Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues. • Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process. • Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self payers. • Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices. • Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process. • Consults with appropriate parties to resolve unbilled claims. Reviews recent accounts for proper billing practices and reimbursement.

Complexity of Work: • Within scope of job, requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment.Must be able to speak, read, write and follow instructions in English

Personal Protective Equipment: • Follows Standard Precautions using personal protective equipment as required.

Education: • High school diploma or GED required. Minimum one (1) year healthcare medical billing experience preferred.

Certifications / Licensure Certified Patient Financial Services Specialist Preferred

Required Skills and Attributes:

+ Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.

+ Must be able to multitask while remaining professional, focused, composed and positive.

+ Excellent customer service skills

+ Displays integrity, friendliness, and compassion.

+ Must be able to establish an appropriate and effective rapport with others.

+ Demonstrates flexibility

+ Takes initiative

+ Able to work in a fast-paced environment

+ Embrace new opportunities to grow both personally and professionally.

+ Effective critical thinking and problem-solving skills.

+ Proficient with various Microsoft Office products (Word and Excel).

+ Strong organizational skills.

+ Effective interpersonal skills.

+ Ability to take and follow direction in a positive and appropriate manner.

+ Ability to work as part of a team and independently.

+ Must be able to demonstrate effective and appropriate written and oral communication skills.

+ Must be able to speak, read, write and follow instructions in English