Home / Account Resolution Specialist Patient Financial Services-Burle Bldng (40 hours/week, 1st shift)

Account Resolution Specialist Patient Financial Services-Burle Bldng (40 hours/week, 1st shift)


Company

Lancaster General Hospital

Cost Center

2044 PFS Account Resolution

Supervisory Organization

HB Account Resolution

Grade

G07

Summary

Full Time: 40 hrs per week. Mon-Fri 8 am to 4:30 pm. No weekends or major holidays.

ATTENTION: Please be aware that, if you are an external applicant, you may need to complete an online assessment as part of the hiring process. This assessment will be sent to the e-mail address that you included in your application. Please note: Some e-mail accounts may receive the assessment e-mail in their junk/spam e-mail. This assessment must be completed within 5 days of receiving it. For more information regarding the assessment, please click HERE.

POSITION SUMMARY: Maximizes cash collections and resolution of aged accounts through informed, consistent follow up activities. Responsible for the timely billing and follow-up of assigned accounts and for ensuring all accounts are paid correctly according to insurance contract terms.  Consistently identifies account deficiencies that require subsequent follow-up and ensures all deficiencies are resolved.  Escalates issues to supervisor and tracks data for trending and feedback purposes.  Works within a structured team setting to ensure team goals and well as individual goals are met in an appropriate manner.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

  • Analyzes and researches denials and follows-up with the appropriate payor, practice, and/or patient to resolve denial. Provides missing or additional information if necessary, to expedite the resolution of the denied claim.
  • Performs all appeals and denial recovery procedures needed to appropriately and accurately resolve denied claims. 
  • Processes required adjustments to accounts, including charges credits, payment transfers, policy adjustments, etc. in a timely and accurate manner.
  • Maintains a thorough knowledge and understanding of all assigned payor contracts and requirements.
  • Performs research to ensure current policies, applicable coding and insurance guidelines, regulations and laws are being followed.
  • Evaluates processes and procedures and makes practical suggestions/recommendations for improvement or compliance.
  • Prepares accurate and timely reports of trends and problems as they are identified. Communicates such trends to management in a timely manner.
  • Consistently identifies account deficiencies that require follow up and ensures that appropriate actions have occurred.
  • Completes work accurately and timely with appropriate documentation.
  • Ensures that all activities related to denials management functions meet department requirements, maximize revenue collection, and achieve leading practice levels of performance.
  • Consistently meets productivity and quality standards established by management, recommending new approaches for enhancing performance and productivity when appropriate.
  • Keeps Supervisor/Manager informed of any problems or issues.

 QUALIFICATIONS:

  • High School diploma or equivalent.   
  • Strong written and verbal communication skills.
  • Microsoft Office experience.
  • Strong organization skills.
  • Ability to apply strong analytical qualities.
  • Associate’s degree preferred
  • One (1) to two (2) years of experience in hospital or physician billing/insurance follow up preferred.

BURLE Full Time Posted on 08/14/2019