Vista Healthcare ยท 3 months ago
Accounts Receivable
Vista Healthcare is a provider in the health care industry, and they are seeking an Accounts Receivable professional. The role involves managing payment processes, addressing billing inquiries, and ensuring the accuracy of patient accounts and medical records.
Health CareMedicalPrimary and Urgent CareTherapeutics
Responsibilities
Posting and completing all payments that are received at the billing department to the correct claims/accounts
Answering billing phone calls and assisting with patients' insurance, and clinic billing questions
Printing and mailing paper claims
Processing refunds, overpayments, and credits
Appling denial reasons to claims and scanning documents
Processing Medical Record Denials
Review patient bills for accuracy and completeness and obtain any missing information
Knowledge of insurance information. I.e. Copay, deductibles, coinsurance. Etc
Check each insurance payment for accuracy and compliance with contract discount
Identify and bill secondary or tertiary insurances
All accounts are to be reviewed for insurance or patient follow-up
Assisting in collections process for patients on unpaid accounts
Assist in processing and handling Medical Records: requests, calls, clarifications, etc
Accurately process incoming medical record request, ensuring proper documentation, data entry, and adherence to privacy regulations
Phone Call Management: Answer and manage incoming phone calls regarding medical records, assisting patients, healthcare providers, and insurance companies with their inquiries and requests
Monitor and support the medical records team to ensure efficient workflow and adherence to procedural standards
Follow up on and address returned mail issues, reprocessing documents as necessary and ensuring timely resolution
Qualification
Required
Minimum of 1 year of experience in revenue cycle role
Strong leadership and interpersonal skills, with the ability to be self-motivated
Excellent analytical and problem-solving skills
Proficiency in Microsoft Office and other relevant software
Excellent written and verbal communication skills
Detail-oriented
Ability to handle multiple tasks and prioritize effectively