Job Description

Per diem/on call; schedule varies as needed.    

Job Summary:

Responsible for timely and accurate submission of all PMH Clinic claims to appropriate payers. Must have excellent knowledge in billing requirements for all payers–government and commercial. Responsible for timely and accurate      claims follow up with third party payers both Commercial and Government. Works with supervisor to maintain AR aging at or below industry standards. Able to communicate with payers accurately relating claims information and requesting payment and/or payment status. Able to use payer web sites, HCPCS and CPT coding material as well as understanding of ICD-10 coding. Must be able to read EOBs, denials and other information provided by payers and process claims accordingly. Ability to work independently, use critical thinking skills and have good communication skills.

Education and/or Experience Requirements:

High School graduate or GED. Two years insurance or self-pay collection follow up in hospital or clinic setting. Must be knowledgeable of computerized claims follow up systems, able to access multiple webs sites without difficulty, able to use computer system to generate independent reports, work independently, work within established goals and be able to initiate production goals.

Licensure & Certifications Requirements:

Post high school education or training; CPAT preferred.