Thank you for your interest in joining our team! Please review the job information below.
Essential Duties and Responsibilities:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge,skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.
• Maintains utmost level confidentiality at all times.
• Adheres to DHS policies procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Perform any other duty as assigned by the Supervisor, Manager or Director.
• Follow up on claim denials with a focus on high dollar and older dates of service as a priority.
• Carry out collection and reporting activities according to management directives.
• Reconciliation of accounts.
• Follow established procedures for processing claim denials.
• Investigate and resolve guarantor accounts.
• Process adjustments, when needed.
• Utilize The Driscoll Way in communications via phone, email, mail or personally.
• Notify the Supervisor or Manager of any denial trends.
• Notify the Supervisor or Manager of any system problems and/or issues immediately.
• Effectively demonstrates DHS's philosophy, values and mission.
EDUCATION AND/OR EXPERIENCE:
High school diploma or general education degree
One to two years related experience and/or training; or equivalent combination of education and experience.
Skills Required
- High school diploma or GED
- One to two years related experience and/or training (or equivalent combination of education and experience)
- Follow up on claim denials, prioritizing high-dollar and older dates of service
- Carry out collection and reporting activities according to management directives
- Reconciliation of accounts
- Investigate and resolve guarantor accounts
- Process adjustments as needed
- Maintain utmost confidentiality and adhere to DHS policies and procedures
- Notify supervisor/manager of denial trends and system problems
- Communicate professionally via phone, email, mail, or in person (The Driscoll Way)
What We Do
We provide the absolute best pediatric care in South Texas, where care and community come together. Together, we heal
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