Resolution Specialist (Liability)

• Job Location:** Lafayette, LA - This position is based in the office.
• Summary of Duties:** Responsible for processing, compiling, analyzing the receivables for assigned payor type.
  
  

**Essential Functions**

• Claim status check and resolution, including initiating contact with appropriate Liability carrier
• Attorney and third-party payer
• Claim rejection/denial and resolution, including initiating contact with appropriate Liability carrier, Attorney and third-party payer
• Monitor payment variance with resolution
• Managing problematic payor issues
• Escalating payor issues
• Liaison for different payor issues in that particular unit
• Communicating with assigned Liability carrier, Attorney and third-party payer for claims with escalated disputes
• Assisting employees with escalated payor issues
• Process payments including reconciling unapplied cash
• Handle inbound calls
• Verification tasks specific to payer type- new payor request
• Ensure accuracy of demographic information
• Some training of employees required
• Other responsibilities, as assigned
  
  

**Qualifications**

• 3-5 years of Liability, Attorney and/or Insurance Billing experience required, or Bachelor's Degree and 3 or more years of Billing experience including ICD-10 coding
• Proficient in Google, MS Office Suite or related software
• Understands HIPAA and Red Flag guidelines
• Problem-solving abilities
• Excellent communication and customer relation skills
• Familiarity with the Liability Reduction Process and other requests from Attorney's and Liability Carriers when it relates to ambulance transportation.
• Demonstrate a strong work ethic and work independently
• Possess strong organizational skills
• Punctual with strong attendance history
• Ability to adhere to productivity goals, departmental and company guidelines, dress code, policy and procedures
• Excellent interpersonal skills and time management
• Maintain highest level of confidentiality
  
  

_All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran._