Reviews and audits accounts located in contract management system on a daily basis to resolve and maintain collection status on an account prior to escalating to Team Lead for further review. Reviews and processes commercial accounts through contract/denial management system. Verifies eligibility, corrects and resubmits claim, and files third party insurances as necessary by adding/updating insurance information to host system.
Utilizes denial management system and responds to requests from insurance carrier for additional information necessary to process claims. Reviews EOB's in contract management system and determines accurate account balance, detailed denial description, and applicable appeal process. Identifies and corrects transactions, such as invalid insurance information, incorrect charges, and posting errors, in host system.
Resolves claims processing dispute as it related to following denials/correspondence received. Qualifications Minimum Knowledge, Skills and Experience required:
- High school diploma or GED.
6 months to 1year working experience of Hospital or Physician office billing and collection processes including producing account appeals with positive outcomes strongly preferred. Proven applicable experience working in an environment that utilizes electronic billing, internal report archives, and tools for applicable database management strongly preferred. Proven applicable experience of preparing complex correspondence to resolve accounts strongly preferred.
Additional
General application knowledge of EXCEL and WORD.
Highlights of our hospitals Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U. S. News & World Report .
With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset!
We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more.
We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U. S.
Army’s Partnership for Your Success (PaYS) program. Ask us about incentives and additional opportunities. Huntsville Hospital
We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!
Learn more about Huntsville Hospital Health System: Careers : https://careers.hhsys.org/careers-home
https://careers.hhsys.org/why-hh-health/benefits/benefits-at-huntsville-hospital/ Education & Professional Development : https://www.huntsvillehospital.org/education Life In Huntsville : https://www.huntsvillehospital.org/about-huntsville-al