Job Details

Spartanburg Regional Healthcare System - - Responsibilities: Collections of all outstanding claims by direct payer contact, utilization of payer websites, and EDI/Claims system; Research and resolve all payments issues/errors for insurance balances; Responsible to complete all error corrections and insurance updates to the facility/professional claim to resolve issues preventing payment; Ability to obtain insurance eligibility and benefit information from payers via phone, RTE, or web for proper claims filing; Review smart edits and payer rejections and perform all necessary rework for reimbursement of services