The Role
Prepare and submit insurance claims, verify patient eligibility, review account accuracy, resolve denials and discrepancies, post payments and adjustments, maintain collection records, appeal claims, manage aging reports, and assist patients with billing questions and payment arrangements. Collaborate with coding, registration, and clinical departments while maintaining applicable hospital, state, federal, and Joint Commission requirements.
Summary Generated by Built In
Description
Duties and Responsibilities
- Prepare and submit insurance claims electronically and manually to commercial insurance companies, Medicare, Medicaid, and other third party payers
- Review patient accounts for billing accuracy and completeness
- Verify patient insurance information and eligibility prior to claim submission
- Follow up with insurance companies regarding denied, delayed, or unpaid claims
- Research claim status, resolve billing discrepancies and claim rejections
- Post insurance payments and adjustments to patient accounts
- Maintain detailed records of collection activities and account updates
- Collaborate with coding, registration, and clinical departments to correct claim information
- Appeal denied claims when appropriate
- Work aging reports and prioritize outstanding balances
- Communicate with patients regarding billing questions and payment arrangements
Requirements
Regulatory Requirements
- Completes annual educational requirements within the assigned time frame
- Maintains regulatory requirements, including all state, federal and Joint Commission regulations related to their department and, as appropriate, to the hospital.
Skills Required
- Complete annual educational requirements within the assigned timeframe.
- Maintain applicable state, federal, and Joint Commission regulatory requirements.
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The Company
What We Do
Jackson County Hospital District, operating as Jackson Hospital, is a 100-bed community healthcare system serving Northwest Florida from Marianna. It provides inpatient and outpatient care, surgery, diagnostic heart services, emergency care, wound healing and hyperbaric medicine, specialty clinics, laboratory, imaging, respiratory, infusion, oncology, cardiology, women’s health and urology services. Its stated mission is to provide exceptional healthcare to every patient, every day, with quality, service, and growth.
