Healthcare Accounts Resolution Specialist

6 days ago


Reading, Pennsylvania, United States Annuity Health Full time

Job Type: Full-time

Description:

The Healthcare Accounts Resolution Specialist will be responsible for all collection functions for hospital and physician services. This primary responsibility of this position is account resolution which includes the following duties: reviewing accounts, following up with insurance companies on claim status, gathering and submitting any missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed.

  • Provide customer service to various healthcare contract customers by ensuring timely and accurate payments from insurance companies.
  • Prepare, research and collect from various contracted health insurance payers to resolve outstanding accounts.
  • Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials to ensure proper account management.
  • Provide or arrange for additional information when needed to facilitate the resolution of accounts.
  • Submit corrected claims or appeals in a timely manner to minimize delays in payment processing.


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