Job Details

Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls assisting patients with requests for information, complaints, and resolving issues. Responsible for making outbound calls related to self-pay follow-up on accounts. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances, and analysis/movement of unapplied, unidentified, and undistributed balances. 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. Resolves billing concerns, addresses inq...Customer Service Specialist, Billing, Customer Service, Office, Processing Specialist, Remote, Retail, Healthcare