Specialist, Account Resolution in Denville, NJ at HOSPITAL BUSINESS SERVICES, INC - NEW JERSEY

Date Posted: 7/9/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    25 Pocono Road
    Denville, NJ
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    7/9/2018

Job Description

The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.

Duties and Responsibilities

1) Works on account assigned to work list both expediently and thoroughly to expedite payment and final disposition of account.
2) Communicates effectively with patients, and other payers to facilitate payment in a timely fashion.
3) Makes clear legible notes in EPIC pertaining to any collection efforts made on accounts (proper use of activity codes)
4) Performs timely follow-up and ensures appropriate action taken at system-mandated intervals
5) Identifies hospital/corporate contracted payers
6) Performs special projects and assignments in an accurate, efficient, and thorough manner
7) Explains hospital deposit policies and payment arrangement standards
8) Performs other duties as assigned or required