Performs activities related to denials, unresolved payments and refunds. Performs activities related to denial, unresolved payment and refund functions for the Patient Accounting department in coordination with other revenue cycle functions to meet customer requirements, maximize revenue collection and achieve best practice targets.
EDUCATION: High school diploma is required. One or two years of college preferred.
EXPERIENCE: At least 1 year of hospital business office experience or a minimum of 3 years of experience in the collection field. Overall knowledge of business office procedures and hospital policies. General knowledge of third-party payors, collection procedures and collection laws. Excellent telephone communication skills. Computer literacy required. Working knowledge of/familiarity with basic medical terminology. Customer service-oriented, which includes the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive and empathetic manner in difficult interpersonal situations.
CERTIFICATION/LICENSURE: No certification, registration or licensure required.
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
This position requires sitting, standing, walking, stooping and crouching for the majority of the workday. Works with such equipment as a computer terminal, fax machine, printer and copier.
The essential functions for this position are listed on the Assessment and Evaluation Tool.
This position reports to department leadership.
The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Whether you lead an active life or love leisure, you’ll enjoy working and living in the beach communities of New Jersey’s southeastern shore.
Benefits & Wellness
We believe that healthcare should be a rewarding career. That’s why we offer excellent compensation, exceptional health and wellness benefits, and internal resources and programs to support professional growth for our team members. Here, you’ll find everything you need to pursue your calling of caring for others, knowing that you’re working for an organization dedicated to your overall well-being.
Inclusion & Diversity
Diversity and inclusion are at the heart of what makes AtlantiCare a great organization. We recognize and celebrate individual differences as dimensions that enrich our workforce and allow us to be more creative, flexible and competitive. Our inclusive culture welcomes our employees to freely contribute their diverse ideas, background, talents and experiences to make this a place where everyone can be, and do, their best work together.
For many, the shore communities of southeastern New Jersey are vacation destinations, but for AtlantiCare employees, they’re home. Working at AtlantiCare allows you to experience shore life year-round. Here, you’ll find natural beauty, world-class entertainment, rich history, amazing arts, abundant outdoor recreation, shopping, sophisticated dining and plenty of family-friendly events all within communities you’ll love to call home.
The spirit of collaboration is alive and well at AtlantiCare. We empower our teams to be agents of change within our system. We encourage growth and support advancement. Our shared vision for advancing the health of the communities and people we serve guides us to do what’s right for each patient, our healthcare delivery system and the practice of medicine as a whole. We teach, grow and advance medicine together.
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Documentation of doctors’ visits
Payment and remittance information
Coordination of healthcare benefits
Health claims attachments
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Eligibility information for health plans
Personal information generated from premium payments