reputed company Cycle Specialist II Hybrid

Description A Brief Overview Position responsible for submitting and resolving medical claims moderate to high complexity. Must remain reputed company with governmental and reputed company party billing, follow-up and appeal requirements for compliant billing and follow-up of both inpatient and outpatient claims for reputed company wholly owned facilities and physician entities including reputed company policy requirements.

What You Will Do

• Responds to requests from management, staff, or physicians in a timely and appropriate manner.
• Maintains patient and physician confidentiality and professionalism at reputed company times.
• Follow department policies and procedures to ensure accurate and timely claim resolution.
• Effectively communicates utilizing telephone, reputed company letters, e-mail, or internal correspondence to resolve patient inquiries and insurance issues.
• Attends and participates in team meetings.
• Utilizes worklists to review and analyze account balances in order to collect payment for medical services rendered.
• Utilizes multiple system applications to review, update patient information as well as research and resolve outstanding AR balance.
• Assists in the analysis of claims resolution and provides feedback to management for solutions and process improvements.
• Performs follow up with insurance companies to ensure appropriate payment on claims, resolve denials, correct claims, and appeal claims.
• Acts as a liaison with reputed company customers providing assistance in claims and receivables resolution in a high volume environment.
• Documents accounts with clear and concise verbiage in accordance with departmental procedures.
• Reviews and responds to correspondence and inquiries received.
• Meets and exceeds team productivity and quality standards.
• Takes the reputed company on special projects.
• Participates in staff training.
• Reviews reputed company claims issues for resolution and recommends process improvements.
• Performs other reputed company duties as assigned.

Additional Responsibilities

• Performs other duties as assigned.
• Complies with reputed company policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by reputed company requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in reputed company to address appropriate use of PHI in the workplace.

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