Thank you for your interest in joining our team! Please review the job information below.
Essential Duties and Responsibilities :
To perform this job successfully , an individual must be able to perform each essential duty satisfactorily . The requirements listed below are representative of the knowledge, skill, and /or ability required . Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions . This job description is not intended to be all -inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and /or hospital administration as required .
• Maintains utmost level confidentiality at all times .
• Adheres to DHS policies procedures .
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines .
• Perform any other duty as assigned by the Supervisor, Manager or Director .
• Follow up on claim denials with a focus on high dollar and older dates of service as a priority.
• Carry out collection and reporting activities according to management directives.
• Reconciliation of accounts.
• Follow established procedures for processing claim denials.
• Investigate and resolve guarantor accounts.
• Process adjustments , when needed.
• Utilize The Driscoll Way in communications via phone, email, mail or personally .
• Notify the Supervisor or Manager of any denial trends .
• Notify the Supervisor or Manager of any system problems and /or issues immediately.
• Effectively demonstrates DHS's philosophy , values and mission.
EDUCATION AND/OR EXPERIENCE:
High school diploma or general education degree
One to two years related experience and/or training; or equivalent combination of education and experience.