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Patient Account Resolution Specialist

2 months ago

Crown Point, Indiana, United States Horizon Financial Management Inc Full time
Position Overview

Horizon Financial Management Inc is a prominent player in the revenue cycle management sector, seeking a dedicated full-time Insurance Claims Follow-Up Coordinator.

Key Responsibilities:

  • Conduct follow-up procedures to secure timely payments from designated payers, adhering to established protocols.
  • Examine payment records for accuracy, ensuring that necessary contractual adjustments are applied to accounts.
  • Engage with insurance agencies to address payment delays and resolve claim denials related to discrepancies.
  • Clarify services provided by the hospital and supply necessary documentation to support third-party payments.
  • Assess account eligibility for payment, prepare corrected rebills, and manage mailing processes.
  • Comply with all HIPAA regulations and maintain confidentiality.
  • Foster positive interactions with colleagues and maintain a professional demeanor in all communications.
  • Uphold a professional appearance and project a positive image within the community.

Qualifications:

  • Minimum of a high school diploma or GED.
  • At least one year of relevant experience to become proficient in collection procedures and billing practices.
  • Familiarity with integrated data processing billing systems and data entry.
  • Understanding of HIPAA regulations and their application in daily operations.

Skills Required:

  • Strong analytical and clerical skills to review reports, prepare appeal letters, and correct claims.
  • Excellent interpersonal and communication skills for frequent interactions with insurance agencies.
  • Mathematical proficiency to compute accounts and forecast payment schedules.

This position is designed to provide a comprehensive understanding of the revenue cycle process while contributing to the financial health of our organization.