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Date Posted
Today
New!Remote Work Level
Hybrid Remote
Location
Hybrid Remote in Little Rock, AR
Job Schedule
Full-Time
Salary
We're sorry, the employer did not include salary information for this job.
Categories
About the Role
Title: Account Analyst I (Biller - Collector)
locations
Little Rock
time type
Full time
job requisition id
R0023710
Job Description:
ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS.
Work Shift:
Day Shift
Time Type:
Full time
Department:
CC807100 PSO Professional Billing
Summary:
Monday to Friday, 8:00 a.m. to 5:00 p.m. — Hybrid
Additional Information:
Prepares accurate and complete medical claims/billings for timely submission to third-party payers. Responsible for follow-up and collection activities to assure prompt and proper payment from third-party payers. Responsible for knowledge of medical billing requirements and software products essential to performing job duties. Analyzes claims for payment. Resolves denials. Identifies problem trends and works to resolve.
Required Education:
High school diploma or GED or equivalent
Recommended Education:
Bachelor's degree in a related field of study.
Required Work Experience:
High School Diploma/GED, or 2 years of experience in lieu of a diploma/GED.
Recommended Work Experience:
Required Certifications:
Recommended Certifications:
Description
1. Analyzes medical claims to assure they are complete and accurate and have any required attachments before being filed to payer (clean claim).
2. Expedites proper adjudication of claims by payer to maximize reimbursement and minimize older age accounts. Identifies claims that have not been adjudicated and assures they are adjudicated promptly. Analyzes reason given for claim not being adjudicated and how we might overcome lack of adjudication.
3. Reviews adjudicated claims to assure they were properly adjudicated with the proper payment amount and to assure that unpaid amounts are valid and properly categorized. Appeals claims that are improperly adjudicated so they are promptly corrected.
4. Identifies problems and patterns, quantifies, reports and resolves problems.
5. Establishes effective working relationships with internal and external customers to expedite creation of clean claims and prompt and proper adjudication of claims. Communicates technical information accurately and effectively whether in writing or orally. Excellent ability to think on feet.
6. Performs other duties as assigned.