Presbyterian Healthcare Services

Compensation

Full Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves following up, collecting, and resolving all outstanding accounts receivable as an Ambulance Revenue Cycle Specialist I. • Performs accounts receivable follow-up activities for assigned payers/accounts using daily aged account work queues and/or A/R reports. • Contacts insurance companies, patients, and employers regarding outstanding ambulance claims. • Provides any information (medical records, itemized statements, etc.) requested by insurance companies to process claims. • Maintains a system to ensure timely follow-up is completed for each outstanding claim. • Works and documents each account according to Patient Accounting Department policies and procedures. • Refers accounts to ARC Supervisor for write-off, agency, or attorney referral as per PHS guidelines. • Cross trains and job shadows in various Ambulance Revenue Cycle Department areas. • Performs accounts receivable credit balance reimbursement analysis. • Manages workflow consisting of accounts assigned and external correspondence relating to overpayments. • Develops positive working relationships with outside agencies and third-party payers. • Responsible for daily claims interface, uploading and monitoring of daily maintenance reports. Qualifications • High School education (G.E.D.) with a minimum of two (2) years experience in admissions, medical claims processing, insurance billing, claims follow-up, or collections preferred. • Six-months to one-year experience in a computerized accounts receivable system preferred. • Short-term training in business office process and procedures preferred. • PC experience with Microsoft Office Word and Excel. • Excellent organizational, problem solving, verbal, written communication skills. • Demonstrated ability to work effectively in a team environment. • Knowledge of ICD9/ICD10 and HCPCS. Benefits • Comprehensive benefits package including medical, dental, vision, short-term and long-term disability, group term life insurance, and other optional voluntary benefits. • Employee Wellness rewards program offering opportunities to enhance health and well-being.