Akron Children's Hospital Careers

Insurance Denials Representative

Akron, Ohio
BILLING/COLLECTION REPRESENTVE


Job Description

Day Job

Schedule: 40 hours/week, Monday-Friday Day Shift

 

Position Description:

  • Responsible for the timely and accurate billing, follow-up and collection of patient accounts in order to reduce accounts receivable and increase cash flow utilizing automated software and on-line functionalities. 
  • Billing responsibilities include obtaining required data to submit a clean claim, satisfying pre-edit errors, correcting charges and researching billing delays for all responsible parties and third party payers. 
  • Follow-up responsibilities include working systematic and other assigned accounts, updating spreadsheets and work-lists, making written and telephone inquiries, resubmitting rejected or denied claims, resolving credit balance accounts and verifying correct payments/adjustments from all third party payers via telephone, electronic transactions and website interactions. 
  • Will access and maneuver across numerous payer websites, and other electronic systems/processes. 
  • Interacts with internal departments as well as external payers and third party vendors via written and verbal communication and electronic interchanges. 
  • Primary responsibilities assume the submission of a clean claim and securing complete and accurate payment in the shortest timeline possible.

Qualifications:

  • High school graduate.
  • Minimum of two (2) years prior experience in hospital billing and follow-up experience, including customer service and credit/collection experience.
  • Must be familiar with UB-04/HCFA 1500 billing and knowledgeable of governmental, managed care and commercial payor regulations. 
  • Must be proficient in the use of personal computers and Microsoft Office 2003/2007 software and have typing skills at a minimum speed of 35 words per minute.
  • Proficient use of copier, fax, scanner, e-mail, and internet website functionality. 
  • Strong communication, mathematical aptitude, critical thinking skills, and analytical skills are required.
  • The ability to communicate verbally and to prepare written communications for patients, patient's families, physicians, third party payors, collection agencies, attorneys and other hospital staff as necessary. 
  • Ability to use a calculator, type and work on personal computer and other hospital on-line systems.
  • Answer phone calls and address, resolve or redirect inquiries.