Responsible for the submission, reconciliation, and collection of accounts receivable for Ridgeview Medical Center. This role reports and submits claims to third-party payers, answers inquiries, and provides customer service related to billing issues and account balances. Primary focus areas include payment posting, collections, accounts receivable management, and remittance reconciliation.
Job functions
- Reviews clearinghouse transactions and claim rejections, makes appropriate corrections, and submits corrected claims.
- Reviews aged accounts receivable and monitors outstanding insurance claims.
- Posts payments accurately and promptly to patient accounts.
- Answers inquiries regarding insurance and billing concerns and follows up when needed.
- Completes remittance reconciliation.
- Assists external customers and directs them to the appropriate resources for questions.
- Provides professional and courteous customer service to internal and external customers.
- Maintains knowledge of insurance company policies and billing guidelines.
- Performs other duties as assigned.
Requirements & Qualifications
Minimum education and experience
- High school diploma or equivalent
- 1 year of professional medical billing experience, or a demonstrated work history showing problem-solving ability, attention to detail, and initiative
Knowledge, skills, and abilities
- Demonstrated skills in claim submission
- Ability to pass and maintain required background checks
- Strong written and verbal communication skills in English
- Analytical skills
- Ability to respond appropriately to unpredictable situations and diverse patient populations
- Ability to work independently and as part of a team
- Strong critical thinking and problem-solving skills
- Basic computer skills, including Microsoft Office applications
- Ability to multitask
- Ability to serve patients in a friendly and efficient manner
- Ability to perform basic math functions
Preferred qualifications
- Familiarity with medical terminology
Location
Minneapolis, Minnesota, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago