Job Summary:

Under the direction of the Patient Accounting Supervisor, this position performs the pro-active follow up activity of outstanding physician claims and identifies issues resulting in non-payment of claims.

Principal Duties and Responsibilities:

Under supervision of the Patient Accounting Supervisor:

• Performs follow up on outstanding physician claims as directed per the current A/R plan.
• Identifies issues resulting in non-payment of claims due to internal/external issues.

• Elevates significant issues to the Manager for further management interaction.
• Works collaboratively with other operationally units to expediently resolve outstanding physician claims.
• Maintains strict patient confidentiality.
• Follows the General A/R and the Client Specific Guidelines.
• Maintains baseline level of accounts/week.

• Provides excellent customer service to patient and clients as needed.
• Attention to detail with the ability to produce high quality work.
• General knowledge of ICD10 diagnostic and CPT procedural coding.
• Thorough knowledge of third party carriers.
• Excellent oral and written communication skills.

• Ability to identify and resolve problems.
• Work effectively as part of a team.
• Excellent customer service skills.
• Excellent change management skills required due to a constant changing healthcare industry.
• Ability to meet department standards regarding production and quality.

Minimum Qualifications:

• High School Diploma required;
• 2+ years work experience in Accounts Receivables/Medical Coding a plus!

• Experience in medical billing and collections in a clinical setting
• Proficient in computer software and technology
• Good with Microsoft Office applications
• Exceptional verbal and written communication skills
• Strong understanding of calculations and medical terminology
• Proven analytical and problem-solving skills
• High time management and organizational skills

Supervisory Responsibilities:

• None

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a
• Must be able to lift up to 15 pounds at