Address
Form of work
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
1. Reviews fee for service activity based on company timeframes and approves or enters as needed.
2. Prepares, records, and sends monthly invoices to payers for all contracts by payer due date and enters revenue into system prior to company close timeframe as needed.
3. Researches any errors with fee for service activity to ensure invoices/claims are sent out within the payer due dates.
4. Processes change requests received from the field to make corrections as appropriate in the EHR system.
5. Prepares necessary Master Journal Entries as needed for contracts monthly.
6. Performs timely and consistent follow up on collections assignments, including necessary appeals, resubmissions, corrections, or adjustments.
7. Keeps up with contract and payer changes and ensures all changes are accounted for correctly for month end close.
8. Provides requested information for audits as needed.
9. Works both independently on aspects, and as part of a team on other aspects of the job.
10. Communicates with supervisor regularly.
11. Processes refunds for overpayments as identified and per payer and company guidelines.
12. Any other duties as assigned.
QualificationsEDUCATION and/or EXPERIENCE
High school diploma or general education degree (GED) and three years related experience. Excel knowledge, and experience in Qualifacts Carelogic is a plus but not required.
