Biller

Account Resolution Specialist

This position is responsible for account resolution of assigned accounts once they have final billed until the balance becomes self-pay.

Essential Functions

• Use AIDET when greeting patients / customers either on the phone or in person.
• Assist patients / customers with the concerns and questions on all bills from WMMC and WMMC clinics, as assigned.
• Trend claim denials, advises supervisor of trends in order to improve processes with the department.
• Follow up on denials aggressively with focus on AR reduction. Initial and subsequent follow up should be based on payer turnaround time and contract requirements.
• Complete the following duties daily, process late charges, correct claim rejections and maintain AR within current HARA benchmarks.
• Demonstrates the ability to maintain the responsible AR with no more than 30% over 90 days.
• All messages left before 330PM Monday through Friday must be returned with 2 hours.
• Handle inquiries from patients / customers as needed after identification has been verified.
• Assist co-workers as needed / requested.
• Maintain a positive rapport with all customers.
• Appropriately handles telephone and email communications.
• Support the Medical Center's Mission / Vision / Philosophy positively.
• Maintain regular and predictable attendance.
• Perform other essential duties as assigned.

Education / Experience / Skill Requirements

Physical / Mental Requirements