About the position

The Financial Assessor - Patient Accounting is responsible for ensuring timely resolution of claim edits, submission of compliant claims, and effective follow-up on third-party payer receivables. This role emphasizes adherence to regulatory standards, excellent customer service, and collaboration with the Patient Accounting team to achieve departmental goals.

Responsibilities

• Meet productivity and quality standards in timely resolution of claim edits and submission of compliant claims.
• Follow up and collect third-party payer receivables in a timely manner.
• Conduct denials and appeals follow-up, including root cause analysis to reduce future denials.
• Provide compliant follow-up correspondence to third-party payers regarding outstanding accounts receivables.
• Support operations related to optimum third-party accounts receivables across various plans.
• Perform daily reviews of work lists to ensure completion of all accounts ready to be worked.
• Utilize government, commercial, and regulatory guidelines for collection of outstanding accounts.
• Recommend accounts for write-off with appropriate justification and documentation.
• Demonstrate excellent customer service through effective communication with patients and other contacts.
• Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
• Contribute to team efforts in achieving departmental accounts receivable goals.
• Identify opportunities for customer, system, and process improvement and submit to management.
• Utilize assigned systems and report any software or hardware issues to the appropriate supervisor.
• Participate in testing for assigned software applications and assist with special projects as needed.

Requirements

• High School Diploma or equivalent.
• 1 year of related work experience or a college degree.
• Working knowledge of physician and facility billing and follow-up, especially Medicare and Medicaid regulations.
• Knowledge of HIPAA standards.
• Ability to perform mathematical calculations accurately.
• Excellent communication skills for interaction with patients, families, and professional offices.
• Basic knowledge of medical terminology and billing practices.
• Extensive experience with PC applications, including Microsoft Office and Excel.

Nice-to-haves

• 2+ years of college or a college degree.
• Experience in call centers, telephone work, or cash collections.
• Knowledge of Epic Systems, Availity, EQ Health, and Clearing House.
• Two years of progressive work experience in a hospital/physician billing or SBO environment.
• Detail-oriented with good organizational skills and ability to be self-directed.
• Strong time management skills and ability to manage multiple priorities in a high-stress environment.
• Flexibility to perform various tasks in an active work environment.
• High-level problem-solving, analytical, and investigative skills.
• Excellent internal/external customer service skills.