
Baylor Scott & White Medical Center - Frisco
Responsibilities include reviewing and following up on self-pay and insurance accounts and working credit balances. Additional duties include but are not limited to working correspondence and assisting with training new employees.
Qualifications:
- High School graduate or equivalent.
- Must have skills necessary to operate the office equipment required to fulfill.
- 5-10 years of experience in hospital insurance collections processing commercial and managed care claims preferred.
- Computer knowledge, including knowledge of Microsoft Office, is required.
- Experience working with Meditech is a plus.
- Good communication skills are essential.
- Responds to telephone and on-site inquiries from patients in a courteous, timely, and informative manner.
- Must be able to work independently with minimal supervision.
- Work comp (Subscriber and non-subscriber) knowledge beneficial.
Responsibilities:
- Meets all required deadlines. Demonstrates discretionary ability in establishing priority.
- Follows up on claims and returns phone calls promptly.
- Meet the productivity expectations established by the Business Office Manager.
- Enters and works account reminders in Meditech.
- Processes A/R maintenance transactions in Meditech.
- Works mail and correspondence daily and responds as necessary.
- Assists with answering incoming calls and/or walk-in customers when needed.
- Understands managed care contracts.
- Appeals claims that are not paid correctly according to Managed Care contracts.
- Supports hospital department policies, department director, and hospital administration.
- Lends knowledge and assistance to other hospital departments, physicians’ offices, and co-workers.
- Communicates effectively and expresses ideas clearly, actively listens, and always follows appropriate channels of communication.
- Adapts and cooperates with changes in assignments, procedures, and personnel.
- Uses supplies and equipment properly and economically and reports necessary repairs promptly.
- Acknowledges errors promptly and notifies appropriate personnel so correction can be made if necessary.
- Cross-train for other Business Office Duties as assigned.
- Participates in USPI Edge program.
- Performs other related duties as assigned.