Job scope:Position is responsible for Managed Care Organization, Private Insurance, Medicare and Medicaid follow-up andcollection activities as necessary to adjudicate claims and clear outstanding accounts receivable.Reviews third party explanation of payment documentation to ensure that claimswere processed correctly by the third party administrator. Responsible for identifying and collecting information necessary to appeal and track denied claims to adjudication. Position requires high degree of telephone contact with internal and external professionals. Communication related duties require an aptitude for eliciting concise and accurate information.

Education/licensure:

Current valid driver's license in state of residence.

High School Diploma - some college e preferred.

Experience/Knowledge:

Computer data entry experience / emphasizing speed and accuracy.

Experience in Current Procedural Terminology (CPT) coding, preparation and third party insurance claims filing preferred.

Communicates effectively with internal and external professionals / emphasis on extracting and providing concise and accurate information.

Functions as a team member and actively participates in continuous quality improvement activities.

Demonstrates aptitude for logical and deliberate problem solving and decision making.

Physical requirements that are bona fide occupational qualifications essential to the performance of the job:

Moderate lifting and carrying up to a maximum of 35 pounds. Sitting for prolonged periods, walking, bending, stooping, kneeling and

reaching above shoulder height. Motor skills necessary to operate essential office equipment. Ability to read and visual acuity to decipher

printed information at 8 lines per inch. Work site is inside, but work station is not segregated by physical barriers