Essential Functions
- Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.
- Verifies completeness and accuracy of billing data and revises any errors.
- Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration.
- Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines.
- Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations.
- Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines.
- Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information.
- Requires regular and prompt attendance.
- Maintains and protects confidentiality in all aspects of patient health information, proprietary information, and employee information.
- Manages customer/client interactions in a professional manner; responds promptly to requests for service and assistance, and meets those commitments.
- Demonstrates the spirit of the philosophy, mission, and values through words and actions, and implements them into department processes, programs, and the working environment.
- Performs other duties as assigned.
The potential salary range for this role is $49,000.00 USD to $ 52,000.00 per year. Final compensation will be based on experience, skills, market conditions, and internal equity. We offer a competitive Total Rewards program including health benefits, RRSP matching, stock options, and career development opportunities.
