City
Gahanna
Shift
Job Code
66666
Job ID
66666
Category
Healthcare: Enrollment/ Billing Provider
Employment Status
Full-Time
Schedule
Travel Involved
Company
PROVIDER

Acct Resolution Specialist

 

JOB DESCRIPTION

MedAssist is looking to build a team of top performers well versed in the Healthcare Revenue Cycle and eager to meet and exceed client expectations. We are searching for team members with a background in the revenue cycle from either the Healthcare providers or payers perspective who would like to maximize their professional potential.

 

Hours:  Monday - Friday 8a - 4:30p

GENERAL SUMMARY:

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

Foundation Knowledge, Skills, and/or Abilities Required: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

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.

JOB REQUIREMENTS

  • Job Requirement:

     

    Educational/Vocational/Previous Experience Recommendations:

     

    • 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.