Works with third party payers to ensure timely receipt, processing, and payment of outstanding accounts receivable by maintaining high productivity and quality standards. Problem solves pended, rejected, and partially denied claims. Responsible for keeping abreast and complying with all managed care contracts and third party relations for your designated payer/s. Tracks and trends escalated payer concerns. Handles all correspondence and communications in a professional and timely manner. Inputs data as required to comply with department specific quality assurance measures and for feedback to other departments and insurance companies. Contributes to departmental operations by performing other job duties as assigned. Performs appropriate account updates and notations for decisive interpretation by end users. Promotes stellar customer service in all dealings.

- Require a minimum of two (2) years of experience in a healthcare, insurance or customer service environment. Bachelors degree can substitute for the required experience.

- Prefer two (2) years of experience working with Third Party Billing and Collections.
- Prefer ability to type a minimum of forty-five (45) words per minute.
- Prefer Certified Patient Account Technician (CPAT) or Certified Revenue Cycle Specialist (CRCS).
- Prefer strong written and verbal communication skills, as they relate to customer interactions.
- Prefer demonstrated computer literacy with windows based programs.
- Prefer the ability to communicate effectively and with a distinct speaking voice.
- Prefer the ability to review and update both patient and insurance information in the computer system.
- Prefer the ability to quickly resolve customer complaints.
- Prefer the ability to read and understand insurance remittances, calculate patient responsibility and understands coordination of benefit rules.

HS EQ: High School Diploma, GED or Certificate