City
Louisville
Shift
Job Code
ARSP
Job ID
33222
Category
Healthcare: Enrollment/ Billing Provider
Employment Status
Schedule
Travel Involved
Company
PROVIDER

Account Resolution Specialist

 

JOB DESCRIPTION

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

The candidate wil be expected to:

  • 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. 
  • 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.
  • Formal training in the specialty of 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. 
  • Call center environment.
  • Able to sit for long periods of time.


MedAssist is EOE/AA M/F/Disability/Vet employer