SUMMARY

• Reviews and works on denials in the workflow system daily
• Reviews and works on denials in the payer portal and/or the clearinghouse portal daily
• Reviews and works in the system for tasks with follow-up dates that are set to expire on that day
• Reviews and works in the system for tasks without a payer response once past 30 days from billing
• Follows up with Field on updates to items assigned to them that are past follow-up date
• Updates DWF with clear, concise notes as claims are worked on
• Notifies the Field of denials that require their attention
• Notifies biller when claims can be electronically rebilled
• Sends out paper or complete web portal billing once any necessary corrections have been made
• Communicates with Field Finance and SSC Management on issues with collections
• Reviews the unapplied cash log for any items that can be applied and works with cash team to resolve
• Works credit balances on the aging and overpayment account and follows the credit balance procedure for resolution
• Completes necessary forms and provides appropriate support for:
• • Refunds

  • Cash move

  • Sales adjustments

  • Transfer of Liability
• Ensures internal control compliance with all assigned areas and other audit requirements
• Assists in the onboarding of new hires by providing required training when necessary
• Embraces concept mentoring by actively participating in team meetings and fostering an environment in which team members proactively collaborate with one another
• Proactively supports management as well as the objectives and goals of the department
• Supports special projects, mission critical initiatives and performs other duties as assigned by the Supervisor

• Ensures Sarbanes Oxley compliance with all assigned areas and other audit requirements.
• Responsible for the maintenance of an effective control environment under SOX 404 for the accounting operations he or she oversees. This includes both key and non-key controls and extends to the timely updating and modification of control design where necessary and the oversight of control remediation activities should exceptions be encountered in testing.
• System testing
• Performs other related duties and activities as required

• High school diploma or equivalent
• Texas collections experience strongly preferred
• Associates or Bachelor's degree in a finance-related field preferred
• No experience in Medical Collections necessary

• None required.

• Must be self-motivated and detail oriented
• Must have excellent communication skills
• Must be highly organized with ability to multi-task
• Must have analytical skills and the ability to collect information from different sources
• Effectively use Microsoft Office (Word, Excel, PowerPoint, Outlook, etc.)

• Travel as needed

• Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.