Review appropriate reports daily for status of approved accounts in hospital system to determine the follow-up action required.
Ensure all authorizations in process have appropriate documents generated, or ordered, as necessary for utilization review group assigned to complete any needed authorizations.
Communicate timely with client and program manager regarding denials, taking aggressive steps to re-bill account.
Report all dated and inactive billed accounts and action required by hospital to manager for submission to client.
Modify and/or enter status codes and other data entry including comments/progress notes.
Monitor billed accounts in the hospital system on a bi-weekly basis to ensure receipt and invoicing of accounts.
Maintains aggressive yet professional follow up skills
Has a basic knowledge of hospital billing and Medicaid programs.
Demonstrates appropriate Management escalation of problem accounts.
Generate automated memorandum, create folders, file and photocopy appropriate documents.
Produce routine client reports to complete job functions as needed.
Other duties as assigned or determined by program procedures
Qualifications
Some college or comparable combination of education and experience
Accurate typing/data entry at a minimum of 20 wpm
Familiarity with word processing and database programs.
Ability to communicate effectively both verbally and in writing
Excellent interpersonal skills and the ability to work as a team.
Ability to follow complex instructions and procedures.
Ability to manage a caseload while organizing in a systematic and efficient fashion.
Ability to pay close attention to detail.
Additional Information
All your information will be kept confidential according to EEO guidelines.
