Job Details

Inspire health. Serve with compassion. Be the difference.

Job Summary

Posts payments and adjustments to invoices.

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.

• Receives and follows up on incoming correspondence and telephone inquiries regarding information for payment

• Clears edits, contacts payers and submits claims via electronic or paper claim submission according to governmental regulations, agency policies, Prisma Health guidelines and timeliness standards

• Reviews patient accounts transaction history to ensure full understanding of next steps. Documents work activity on the patient accounts according to departmental guidelines

• Works and monitors electronic work queues daily resolving any outstanding accounts according to departmental guidelines

• Ensures all work is compliant with privacy, HIPAA, and regulatory requirements

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - High School diploma or equivalent OR post-high school diploma/highest degree earned

• Experience - Two (2) years billing, bookkeeping, accounting experience

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• NA

Knowledge, Skills and Abilities

• Knowledgeable of the job functions required for a Cash Posting Representative, Claims Clearinghouse Representative and a Correspondence Representative.

• Attends required training as appropriate

Work Shift

Day (United States of America)

Location

Independence Pointe

Facility

7001 Corporate

Department

70019227 PBO Other Specialties A/R Team

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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