Responsible for day to day follow-up of Medicare, Medicare Advantage plans, Medicaid, CMOs, and commercial insurance claims, and the review of aging reports to identify and resolve problem areas. Also includes the working of all rejections and denials accurately and efficiently. Necessary to prioritize work, formulate a plan of action, and analyze results, as well as communicate trends and billing coding issues.
Education
High School Diploma or GED
Experience
Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.
Qualifications
*Ability to meticulously organize, analyze, and prioritize workload, and perform responsibilities with integrity. Ability to communicate issues to CBO management and offer a resolution.
*Ability to work professionally and closely with others, and function as a team member.
*Exhibit exceptional communication skills verbally and in writing.
*Minimum of two years experience in insurance and patient billing, and AR, which includes credits, refunds, offsets, and posting payments.
*Possess a comprehension of working and analyzing AR to resolve claim denials timely, and keep AR days, and greater than 90-day AR categories below MGMA standards.
*Working knowledge of CPT & ICD Coding, and medical terminology required.
Skills Required
- High school diploma or GED
- Two years of related experience
- Working knowledge of specialized practices, equipment, and procedures
- Ability to organize, analyze, and prioritize workload
- Ability to communicate issues and offer resolutions to management
- Ability to work professionally and collaboratively as a team member
- Exceptional verbal and written communication skills
- Minimum two years of experience in insurance and patient billing and accounts receivable
- Experience handling credits, refunds, offsets, and payment posting
- Ability to analyze accounts receivable and resolve claim denials timely
- Working knowledge of CPT and ICD coding
- Knowledge of medical terminology
What We Do
Tanner Health System is a regional healthcare provider serving west Georgia and east Alabama. With over 70 years of history, the system operates five hospitals and nearly 40 practice locations, providing community-based care through a dedicated team of clinical and non-clinical professionals.
