Third Party Specialist
1 month ago
Job Summary:
Under the direction of the A/R Supervisor, the Third Party Specialist facilitates all phases of the billing process.
Duties and Responsibilities:
Responsible for submitting paper and electronic claims to all payers.
Following up on current, past due accounts and secondary balances with third party payers, on claims that are denied or unpaid beyond the contracted time frame.
Assist supervisor with reporting, analyzing and trending of the accounts receivable.
The Third Party Specialist functions as a billing liaison to patients, providers, and insurance carriers, internal and external customers to ensure appropriate reimbursement on claims.
Requirements:
A high school degree is required; Associate's degree is preferred.
A minimum of two years related experience in a health care environment or accounts receivable is also required.
Knowledge of third party payers, medical terminology, word processing, statistical tools, and computer applications, including Excel highly desirable.
Must have excellent interpersonal, communication and typing skills, as well as demonstrate appropriate decision making/judgment skills when addressing the accounts receivable.
Care New England Health System (CNE) and its member institutions; Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nation’s top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
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