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.


  • 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.


  • 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.

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