Job Description

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

Job Summary:

Responsible for timely and accurate claims follow up with third party payers; both commercial and government. Maintain AR aging at or below industry standards. Communicate with payer’s accurately relating claims information and requesting payment and/or payment status. Must be 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. Work independently within established goals and be able to initiate production goals. 

Licensure & Certifications Requirements:

CRCS preferred.