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Job Summary

Posts payments and adjustments to invoices.

ACCOUNTABILITIES

• Receives and follows up on incoming correspondence and telephone inquiries regarding information for payment 40%
• Clears edits, contacts payers and submits claims via electronic or paper claim submission according to governmental regulations, agency policies, Prisma Health guidelines and timeliness standards 10%
• Reviews patient accounts transaction history to ensure full understanding of next steps. Documents work activity on the patient accounts according to departmental guidelines 10%
• Works and monitors electronic work queues daily resolving any outstanding accounts according to departmental guidelines 10%
• Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements 10%
• Attends required training as appropriate, participates in general or special assignments and performs other duties as assigned 10%
• Knowledgeable of the job functions required for a Cash Posting Representative, Claims Clearinghouse Representative and a Correspondence Representative. Should be cross-trained and proficient operate in any of these roles if the need arises. 10%

SUPERVISORY/MANAGEMENT RESPONSIBILITIES

This is a non-management job that will report to a supervisor, manager, director or executive.

MINIMUM EDUCATION

High School diploma or equivalent preferred

MINIMUM EXPERIENCE

2 years- Billing, bookkeeping, accounting

REQUIRED CERTIFICATIONS, REGISTRATIONS, LICENSES

N/A

KNOWLEDGE, SKILLS OR ABILITIES

Knowledgeable of the job functions required for a Cash Posting Representative, Claims Clearinghouse Representative and a Correspondence Representative. Should be cross trained and proficient operate in any of these roles if the need arises.

Work Shift

Day (United States of America)

Location

Independence Pointe

Facility

7001 Corporate

Department

70019216 PBO Internal Medicine/Psych A/R Team

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.