Non-Gov't Follow-Up Representative - Full Time Days 8AM-4PM - FIN-Rev Cyc Ops-Inpatient
3.
2 Patchogue, NY Patchogue, NY Full-time Full-time $26.
36 an hour $26.
36 an hour 9 days ago 9 days ago 9 days ago LI Community Hospital has an exciting opportunity to join our team as a Non-Gov't Follow-Up Representative - Full Time Days 8AM-4PM - FIN-Rev Cyc Ops-Inpatient.
Performs follow-up and payment analysis on non-governmental hospital claims to ensure timeliness and accuracy of payments from the Managed Care plans.
Has an understanding of Managed Care contracts to perform payment analysis and follows up on reconsiderations and appeals.
Escalates trends and claim issues to management for resolution.
Attends to all telephone inquiries, audits, and mail correspondence as they apply to the accounts receivable.
Adheres to all department policies, procedures and HIPAA regulations.
Job
Responsibilities:
Ensures follow- up, denials, underpayment, correspondence and credit reviews are conducted in a timely manner, notating all pertinent information in the Patient Accounting system to meet the Quality Review standards.
Resolves outstanding accounts utilizing ancillary applications and websites as tools to submit/retrieve medical documentation, obtains claim status, submission of inquiries, claim reconsideration and corrected claim submissions.
Researches and interprets payer contract terms and performs extensive follow-up to investigate and resolve payment denials, underpayments and credits.
Requests medical records and itemized bills as needed.
Escalates delays in process to Management.
Participates in bi-weekly calls with Management and JOC analysts to review and resolves issues related to the outstanding receivable.
Process all third party correspondence in a timely manner.
Daily review of claim edit work queues including 277 claim rejections to ensure accurate and timely submission and/or resubmission of claims to third party payors.
Daily review of accounts receivable in the assigned payer work queues.
Maintain patient accounts with an active self-pay balance to ensure all accounts go through the proper self-pay collection channels, including review of self-pay credits for transfer or processing of refund amount.
Performs other duties as assigned Complies with hospital and department corporate compliance, safety and infectious control procedures.
Stays up to date with corporate compliance standards and attends scheduled training.
Demonstrates a clear knowledge and understanding of the department and hospital policies and procedures as it relates to daily job responsibilities.
Minimum
Qualifications:
High School or equivalent required.
2
years relevant experience.
Strong customer service and communication skills.
Proficient in MS Excel, Word, and outlook.
Familiarity or prior experience with office setting.
Prior customer service experience.
Must be articulate with good interpersonal skills.
Must have knowledge of computer keyboard able to type a minimum of 20 words per minute.
Must be able to accurately enter data.
Willingness to devote the time required completing assigned tasks on schedule.
Qualified candidates must be able to effectively communicate with all levels of the organization.
Job Type:
Full-time Pay:
$26.
36 per hour Expected hours:
37.
5 per week
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Ability to Relocate:
Patchogue, NY 11772:
Relocate before starting work (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
2 Patchogue, NY Patchogue, NY Full-time Full-time $26.
36 an hour $26.
36 an hour 9 days ago 9 days ago 9 days ago LI Community Hospital has an exciting opportunity to join our team as a Non-Gov't Follow-Up Representative - Full Time Days 8AM-4PM - FIN-Rev Cyc Ops-Inpatient.
Performs follow-up and payment analysis on non-governmental hospital claims to ensure timeliness and accuracy of payments from the Managed Care plans.
Has an understanding of Managed Care contracts to perform payment analysis and follows up on reconsiderations and appeals.
Escalates trends and claim issues to management for resolution.
Attends to all telephone inquiries, audits, and mail correspondence as they apply to the accounts receivable.
Adheres to all department policies, procedures and HIPAA regulations.
Job
Responsibilities:
Ensures follow- up, denials, underpayment, correspondence and credit reviews are conducted in a timely manner, notating all pertinent information in the Patient Accounting system to meet the Quality Review standards.
Resolves outstanding accounts utilizing ancillary applications and websites as tools to submit/retrieve medical documentation, obtains claim status, submission of inquiries, claim reconsideration and corrected claim submissions.
Researches and interprets payer contract terms and performs extensive follow-up to investigate and resolve payment denials, underpayments and credits.
Requests medical records and itemized bills as needed.
Escalates delays in process to Management.
Participates in bi-weekly calls with Management and JOC analysts to review and resolves issues related to the outstanding receivable.
Process all third party correspondence in a timely manner.
Daily review of claim edit work queues including 277 claim rejections to ensure accurate and timely submission and/or resubmission of claims to third party payors.
Daily review of accounts receivable in the assigned payer work queues.
Maintain patient accounts with an active self-pay balance to ensure all accounts go through the proper self-pay collection channels, including review of self-pay credits for transfer or processing of refund amount.
Performs other duties as assigned Complies with hospital and department corporate compliance, safety and infectious control procedures.
Stays up to date with corporate compliance standards and attends scheduled training.
Demonstrates a clear knowledge and understanding of the department and hospital policies and procedures as it relates to daily job responsibilities.
Minimum
Qualifications:
High School or equivalent required.
2
years relevant experience.
Strong customer service and communication skills.
Proficient in MS Excel, Word, and outlook.
Familiarity or prior experience with office setting.
Prior customer service experience.
Must be articulate with good interpersonal skills.
Must have knowledge of computer keyboard able to type a minimum of 20 words per minute.
Must be able to accurately enter data.
Willingness to devote the time required completing assigned tasks on schedule.
Qualified candidates must be able to effectively communicate with all levels of the organization.
Job Type:
Full-time Pay:
$26.
36 per hour Expected hours:
37.
5 per week
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Ability to Relocate:
Patchogue, NY 11772:
Relocate before starting work (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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