CSR/Data Entry

Requirements :

Typing : 35-40WPM and 2-3 years experience with all Microsoft Office suite i.e. Excel, word, Power point etc.

Summary :

A / R collection beginner level of knowledge of IBMi

Job Responsibilities :

• Attends work on a regular and predictable basis
• Performs other duties and responsibilities as assigned
• Obtain payer requirements for timely adjudication of claims
• File claims with appropriate documentation attached
• Pursue, maintain, and communicate payor coverage / guideline changes / updates
• Process all incoming and outgoing correspondence as assigned
• Verify, adjust, and update Accounts Receivable (A / R) according to correspondence received from insurance company
• Help facilitate interoffice communication on error and denial trends
• Initiate the review / appeals process on disputed claims
• Research credit balances and initiate refunds as required
• Document all activity in customer's computer account
• Answer Accounts Receivable phone inquiries
• Work assigned RBCO reports
• Available to assist other PACs with questions or collection needs
• Acts as liaison between staff and management
• Perform other duties as assigned

Qualifications :

• Knowledge of telephone etiquette and adequate oral and written communication skills
• Shows effective multi-tasking skills
• Positive and cooperative attitude in working and communication with individuals at all levels of the organization
• Knowledge of medical field preferred

Education

and Experience :

• High School Diploma or General Education Degree (GED) required
• Has at least 3 yrs and / or knowledge equivalent experience
• Past performance shows solid evidence of insurance qualifications and guidelines

Physical Demands :

While performing the duties for this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms;

and talk to hear. The employee frequently is required to walk and sit. The employee is occasionally required to stand. The employee must occasionally lift and / or move up to 25 pounds.

Specific vision abilities required by this job include close vision. The noise level in the work environment is usually moderate.