Executes Business Office Operations and Functions including billing, collections, payment processing, and customer service tasks.
Updates accounts with ownership and accountability.
Leverages contract knowledge and expertise to drive revenue.
Evaluates root cause and resolves account issues timely.
Completes transactional updates independently and collaborates with departments as needed.
Identifies patterns and trends in account issues; escalates appropriately.
Maintains subject matter expertise on regulations and processes.
Consistently meets production and quality requirements.
Requirements
8 years experience in Revenue Cycle / Hospital Business Office programs (Customer Service, Billing, Follow-up) or equivalent industry experience.
Related certification program in areas such as billing, medical office, coding and accounting can be substituted for 1 year of experience.
Bachelor's Degree can substitute for 4 years of experience; Associate's Degree can substitute for 2 years of experience.
High School diploma or equivalent
Must possess knowledge of ICD-9/10, CPT and HCPCS coding.
Apply critical thinking and problem solving skills as it relates to resolving accounts.
Must understand the explanation of benefits of various managed care companies and regulations.
Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with FMOLHS policies, procedures and core values.
Communication, interpersonal and collaboration skills.
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