Spec I – Acct Receivable

Spec I – Acct Receivable

Requirements

• High school diploma or equivalent experience required
• AA or BA/BS degree preferred
• 1+ years of medical collections and/or billing experience

Responsibilities

• Perform collections activities on all outstanding claims for assigned payers
• Demonstrate a basic understanding of compliance policies for Baxter, including commercial and government payers
• Understand and consistently contribute to team goals, as well as how they support greater organizational goals
• Enter and work all denials received from assigned payers within specified timeframe
• Create, submit, and follow through on appeals for assigned payers
• Research and reconcile credit balances on accounts
• Process corrected claims and/or rebills to assigned payers as needed
• Process adjustments following the established policy and procedures
• Document and follow up on explanations of benefits (EOBs)
• Identify and articulate trending payer issues and notify appropriate leaders in a timely manner
• Provide quality customer service, with the ability to speak knowledgably to payers, patients, and other collaborators
• Ability to verify benefits and understand coverage criteria
• Demonstrate a basic understanding of the business model
• Understand and follow department policies, procedures, work instructions, job aids, and standard work requirements
• Maintain regular, positive communication with colleagues, business partners, and customers
• Provide workload coverage, if needed
• Support team decisions
• Other duties as assigned

Preferred Qualifications

• AA or BA/BS degree preferred