Curriculum Specialist, Sr. jobs in Sarasota, FL

Essential Duties and Responsibilities

(List in order of importance or percentage of time spent on the particular responsibility – High to Low)

1. Responsible for all aspects of follow up and collections, including making telephone calls, accessing payor websites.
2. Identify issues or trending and provide suggestions for resolution.
3. Accurately and thoroughly documents the pertinent collection activity performed.
4. Review the account information and necessary system applications to determine the next appropriate work activity.
5. Verify claims adjudication utilizing appropriate resources and applications
6. Initiate telephone or letter contact to patients to obtain additional information as needed
7. Perform appropriate billing functions, including manual re-bills as well as electronic submission to payors
8. Edit claims to meet and satisfy billing compliance guidelines for electronic submission
9. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory
10. Participate and attend meetings, training seminars and in-services to develop job knowledge
11. Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor
12. Respond timely to emails and telephone messages as appropriate. Communicate issues to management, including payer, system or escalated account issues
13. Ability to perform all other duties as assigned or requested