Job Responsibilities
- Resolves higher dollar, aged accounts receivable to determine why a claim has not be paid and takes necessary actions to get claim paid immediately.
- Promptly resolves denials by identifying the root cause of the issue and then taking any necessary actions to get denial overturned and paid promptly.
- Works with payers, departments, management and patient (if required) to obtain necessary information for claim resolution.
- Provides feedback to supervisor and ensures collecting the information of trends and responds to inquiries about trends.
- Performs any necessary account adjustments in accordance with department policies.
- Ensures assigned work queues are reviewed and resolved timely.
- Monitors assigned work queues and payers for identification of potential problems.
- Proactively escalates unresolved questions or issues. Shares information as necessary.
- Other duties as assigned.
Education Requirements
- High school diploma or GED
Experience Requirements
- Minimum: Two (2) years of experience working with insurance balances in a business office or similar role.
- Preferred: Three (3) years of insurance follow-up experience working in Epic EMR handling claims of moderate to high complexity
License/Certification Requirements
- Minimum: None
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- Two years of experience working with insurance balances
- Three years of insurance follow-up experience preferred
- High school diploma or GED
What We Do
Riverview Health is comprised of a full-service, 156-bed hospital in Noblesville, a 16-bed hospital in Westfield, as well as freestanding combined ER and urgent care facilities. Also included are more than 25 primary, immediate and specialty-care facilities in Hamilton County. Riverview Health provides comprehensive inpatient and outpatient services in more than 35 healthcare specialties and has been frequently recognized for its clinical and service excellence, including being named America's 100 Best Hospitals for Orthopedic Surgery by Healthgrades and earning the Healthgrades Outstanding Patient Experience award. For more information on Riverview Health, visit riverview.org.Together, we provide comprehensive inpatient and outpatient services in more than 35 healthcare specialties—and have been frequently recognized for our clinical and service excellence. A wide range of services is provided at our main campus—located at 395 Westfield Rd. in Noblesville—including comprehensive care in heart & vascular, orthopedics, advanced emergency services and a vast array of women's health services. As one of the largest employers in Hamilton County, Riverview Health employs more than 1,400 employees, thereby having a significant impact on the local economy. Riverview Health is owned by the county and does not receive tax dollars for operating expenses.
