need to be submitted to the provider representative for contracting action. Identifies denial and underpayment trends that require computer system modifications and recommends necessary to implement corrective action. Prepares reports for meetings with provider representative and senior leadership, as required.
Education - Required: High School Diploma/GED Education - Preferred: Associate's Degree in Health Care Science, Business or related field. Experience - Required: 2 years of professional or facility billing and/or collections for all major third party payers or work experience in healthcare related field. Experience - Preferred: 1 year Medical Coding Experience. Knowledge, Skills,
and Abilities - Required: Excellent follow-up and verification skills. Excellent verbal and written communication skills. Knowledge of insurance contracts, and regulations.
Proficient with Microsoft Excel, Word, and Power Point applications. Strong analytical, mathematical and organizational skills. Successful Completion of DOE and Revenue Cycle Education Training within 3 months of hire. Licensure - Preferred: CPAT - Certified Patient Accounting Technician or equivalent
High School Diploma/GED Education - Preferred: Technical School Diploma or Associate's Degree Experience - Required: 1 year Experience in warehouse, logistics, or other supply chain discipline Experience - Preferred: 3 years Experience in warehouse, logistics, or other supply chain discipline or 1 year Healthcare industry experience Knowledge, Skills, and Abilities - Required: Demonstrates basic computer/PC navigation skills, warehousing devices and equipment, hardware, and software.
Knowledge, Skills, and Abilities - Preferred: Familiar with medical supplies, consumables, and equipment and can obtain a basic understanding of their use.