Job Description

FT, 80 hrs/pp, 1.0 FTE; Mon.-Fri., days.

Job Summary:

Responsible for timely and accurate claims follow up with third party payers; both Commercial and Government.  Responsible 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 aging reports, payer web sites, UB editor, 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.

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 web sites without difficulty, able to use computer system to generate independent reports, work independently within established goals and be able to initiate production goals.

CPAT Preferred

Licensure & Certifications Requirements: