Account Resolution Specialist Job at Scottish Rite for Children
Our patients are our number one priority! We're committed to giving children back their childhood!
Job Posting Title:
Account Resolution Specialist
Location:
Dallas - Hospital
Additional Posting Details:
Monday - Friday
8 am- 4:30 pm
Job Description:
Duties/Responsibilities
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Act as a lead to Follow-up Specialists to answer questions concerning procedures and provide on-the-job training when necessary
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Review and resolve credit balances in a timely manner
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Lead and participate actively in problem resolution
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Review all assigned accounts to ensure that charges and other relevant information are correct and claims are billed within government and third-party payor guidelines
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Follow-up on all billed claims to ensure timely and accurate payment and disposition of patient accounts
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Verify appropriateness of reimbursement per contractual agreements and resolve discrepancies with payors
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Review payor denial reasons and appeal with supporting documentation for complete reimbursement
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Follow-up with payors and families routinely to provide assistance to expedite payments
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Assist with training and development of account follow-up methods and procedures
Required Skills/Abilities
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High school diploma or equivalent required
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Minimum 2 years of patient account follow-up experience in the health care field with a clear understanding of contractual reimbursement and adjustments
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