Job Description
This role focuses on maximizing revenue of hospital services by reviewing payer contracts and appealing claims that are not reimbursed based on contractual agreements. The ideal candidate ensures that billing related functions are performed in an efficient manner consistent with department policies and procedures.
Job Responsibility
- Interfaces with practices and departments to ensure financial growth and stability.
- Monitors accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds.
- Acts as resource person for resolution of complex billing situations.
- Guides billing/clerical staff regarding billing and office/clerical functions.
- Coordinates clinical documentation requests to business office to ensure timely appeals.
- Develops and implements policies and procedures to facilitate billing and maximize case collections.
- Reviews and recommends improvements for financial management of each billing area.
- Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
- Associate's Degree required, or equivalent combination of education and related experience.
- 3-5 years of relevant experience, required.
*Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).