ACU-Serve Corp

Compensation

Full Description

Generate claims for submissions to third-party payers (commercial and federal/state government sponsored programs).  These claims result from products and services administered to patients from our customers.  Perform duties and responsibilities daily to ensure completions of accounts.    Qualifications:      Pre-Employment Education and Experience: Minimum of a high school diploma or GED required.   Post-Secondary education in a medical discipline highly desired. Two years billing and or collection experience necessary, preferably in the IV field.  Technical Skills: Knowledge of Windows, Word, and Excel highly desired.  Special Skills: Excellent telephone and communication skills essential.   Ability to deal with a variety of personalities in a professional manner is mandatory.  Ability to assimilate a large volume of knowledge, detail orientation and good follow-through skills are crucial.  Ability to use logic as a problem-solving skill, and able to recognize trends to make decisions to improve business.     Duties and Responsibilities: * Generate monthly patient statements * Verify patient balances are accurate and correct * Take patient calls & patient payments  * Prepare patient balance reports to submit to client  * Obtain billing information on a daily or weekly basis (depending on the frequency of the data transfers) to generate claims from a multitude of different softwares. * Track claims that are pending due to missing or incomplete documentation (ie: HCFA, EOB, etc.). * Bill/submit claims to copay programs in a timely fashion and within the timely filing period.    * Perform routine follow-up calls to copay programs to determine the status of claims that are not paid within the normal claim processing time frame for a payer.   * Submit appeals in a timely manner to ensure proper payment on outstanding claims  * Resolve partial payments and denials in a timely manner * Provide exceptional communication for reimbursement customers within Accounts Receivable * Identify issues and trends and communicate to management as needed * Document notes clearly, concisely, and timely in Client’s software * Prepare a write-off form with a description of the reason for the write-off when bad debt is identified and be able to assist others with write off questions and process. * Miscellaneous duties as assigned.