Review daily assigned tasks through the applications and as assigned according to department goals.
Contact insurance companies, patients, and other third-party payers regarding claims status and payment, via telephone and written correspondence according to established standards.
Respond to inquiries and correspondence from insurance companies, patients, and other third-party payers in a professional and timely manner.
Refile/rebill claims as necessary, ensuring that all information contained on the claim is accurate and complete.
Review and process denials from insurance companies, process for further review, identifying and initiating appeals as needed.
Audit accounts for any necessary corrections, including updating coverage information.
Maintain working knowledge of current procedural terminology, diagnosis codes, and insurance payer policies.
Provide phone coverage for customer service related calls as needed.
Works with patients to resolve outstanding insurance and/or patient balances according to set standards and policies. This includes preparing accounts for collection.
Set up payment plans with patients and follow up on all payment plans implemented.
Performs at or above the assigned department quality and productivity standard
"Other duties as assigned"
Minimum two (2) years’ experience in patient account billing and collections.
General computer skills, including the ability to use the internet and learn other computer applications.
General knowledge of medical terminology and ICD9 coding.
Working knowledge of general medical office procedures required.
Working knowledge of legal aspects of patient and insurance collections.
40 WPM typing
Must have good listening skills and the ability to communicate clearly and effectively
Internal Number: MEM003461
About MemorialCare Medical Foundation
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.