GENERAL STATEMENT OF DUTIES
Responsible for timely and accurate eligibility and benefit verification as well as registration entry, to support accurate claim submission. Support payment posting to meet departmental deadlines.
ESSENTIAL FUNCTIONS
· Prioritize daily work to meet established productivity and accounts receivable (A/R) goals.
· Enter, Review, correct, and maintain registration and eligibility integrity.
· Assist with payment posting to assure accuracy in accordance with departmental deadlines.
· Interpret remittances and explanations of benefits (EOB/ERA) for government and commercial payers and other payers (workers’ compensation, auto, third-party liability)
· Coordinate with coding, billing staff and patients to resolve eligibility and benefit issues.
· Works with patient accounts/collections staff regarding self-pay accounts and patient balance resolution as assigned.
· Works with Collections Specialist regarding self-pay accounts.
· Maintain patient confidentiality and comply with applicable policies, procedures, and regulatory requirements (including HIPAA).
QUALIFICATIONS
· High School Diploma or GED. Experience in healthcare or related field preferred.
· One (1 year) revenue cycle experience preferred.
· Proficiency in computer applications with the ability to learn EMR and navigate Insurance Portals.
· Proficiency with electronic medical records (EMR), EPIC experience a plus.
· Strong attention to detail and customer service communication; able to prioritize accurately in a fast-paced deadline driven environment
· Ability to work independently.
CMU is an AA/EO institution, providing equal opportunity to all persons, including minorities, females, veterans, and individuals with disabilities.
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