City
Belleville
Shift
Job Code
AR2R
Job ID
33153
Category
Healthcare: Enrollment/ Billing Provider
Employment Status
Schedule
Travel Involved
Company
PROVIDER

Acct Resolution Spec 2 - RM

 

JOB DESCRIPTION

Hours:  Monday - Friday Day Shift
 

GENERALSUMMARY:

 
The goal of the Account Resolution Specialist ll is to successfully collect on aging medical insurance claims, either in the office or at the client site. 
 

Essential Duties and Responsibilities: 
 
  • File claims using all appropriate forms and attachments.
  • Research account denials and file written appeals, when necessary.
  • Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
  • Research account information to determine the necessary attachments or supporting documentation to send with each claim.
  • Ensure the integrity of each claim that is billed.
  • Document in detail all efforts in CUBS system and any other computer system necessary.
  • Verify patient information and benefits.
  • Appeal accounts in writing.
  • Draft letters to clients.
Additional Duties and Responsibilities: 
 
  • Meet specified goals and objectives as assigned by management on a regular basis.
  • Maintain confidentiality of account information at all times.
  • Maintain awareness of and actively participate in the Corporate Compliance Program.
  • Assist with other projects as assigned by management
  • Maintain good working relationships with state and Federal agencies.
  • Resolve accounts in a timely manner.
  • Maintain a neat and orderly work station

 
 

 

JOB REQUIREMENTS

 

  • High school diploma or equivalent is required.
  • 1 – 3 years experience in insurance billing preferred.
  • Knowledge of all insurance payers preferred.
  • Proficient PC knowledge and the ability to type 30-40 wpm.
  • Professional written and verbal communication skills.
  • Capacity to prioritize multiple tasks in a busy work environment.
  • Organization and time management skills.
  • Capability to present oneself in a courteous and professional manner at all times.
  • Ability to stay on task with little or no supervision.