Job Description

Job Location Vista Healthcare Administration - St George, UT 84790 Position Type Full Time Job Shift Any Job Category Health Care

Accounts Receivable

Job Description:

• Posting and completing all payments that are received at the billing department to the correct claims/accounts.
• Answering billing phone calls and assisting with patients' insurance, and clinic billing questions.
• Printing and mailing paper claims.
• Processing refunds, overpayments, and credits.
• Appling denial reasons to claims and scanning documents.
• Processing Medical Record Denials.
• Review patient bills for accuracy and completeness and obtain any missing information.
• Knowledge of insurance information. I.e. Copay, deductibles, coinsurance. Etc.
• Check each insurance payment for accuracy and compliance with contract discount.
• Identify and bill secondary or tertiary insurances.
• All accounts are to be reviewed for insurance or patient follow-up.
• Assisting in collections process for patients on unpaid accounts
• Assist in processing and handling Medical Records: requests, calls, clarifications, etc.

• Accurately process incoming medical record request, ensuring proper documentation, data entry, and adherence to privacy regulations.

• Phone Call Management: Answer and manage incoming phone calls regarding medical records, assisting patients, healthcare providers, and insurance companies with their inquiries and requests.

• Monitor and support the medical records team to ensure efficient workflow and adherence to procedural standards.

• Follow up on and address returned mail issues, reprocessing documents as necessary and ensuring timely resolution.

Qualifications

Qualifications:

• Minimum of 1 year of experience in revenue cycle role
• Strong leadership and interpersonal skills, with the ability to be self-motivated.
• Excellent analytical and problem-solving skills
• Proficiency in Microsoft Office and other relevant software
• Excellent written and verbal communication skills
• Detail-oriented
• Ability to handle multiple tasks and prioritize effectively.