Duties:
· Institutional
Insurance and reimbursement expert for one or more of the following business
lines: durable medical equipment.
· Performs
all aspects of the billing and collection processes for the individual business
lines across the enterprise.
· These
processes include service pre-certification, insurance coverage review and
personal responsibility determination, communications with patients, claim
submissions, denial review, rebilling, appeals, and accounts receivable
management.
· Utilizes
skills in problem solving, customer service, and communications (verbal and
written) in interactions with patients and internal customers to resolve a
variety of account, billing and payment issues for patients, physicians,
nurses, pharmacists, technicians and social workers.
· Interprets,
applies and communicates Client policies regarding financial aspects of patient
care to assure optimal reimbursement for both the patient and Client.
Education:
· Associate
Degree in finance, business or healthcare related majors and one year
experience in medical, pharmacy or durable medical equipment billing and
collection activities Or high school diploma/GED with at least 3 years’
experience in medical, or durable medical equipment billing and collection
activities.
· Qualified
candidate must possess strong human relations, communication, problem solving,
and organizational skills to interact with a variety of customers and
personnel, both within and outside the institution.
· Must
be able to work independently and in a team environment.
· Candidate
should have experience working with Windows based software, Microsoft Word,
Excel, and the Internet.
· Keyboarding
experience required.
· Claims
management software experience desired.
Required:
· Excellent
Communication Skills
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