• Responsible for the ICD and CPT coding, data entry and claims processing • Claim scrubs for clean claim submission • Work appeals/denials in a timely manner • Accurate coding and claims submission • Reviews and analyzes patient records • Research coding and claims questions • Ensures appropriate modifiers are assigned • Provides support to office managers and staff • Participates in coding audits and educational endeavors • Stays up to date on coding changes and updates • Answers emails and voicemails and returns calls • Completes requests for information promptly • Abides by and promotes HIPAA compliance • Participates in staff meetings as directed

• The ability to work all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up in accordance with Departmental protocol with an emphasis on maximizing patient satisfaction and profitability. • Depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction.

Role Description This position is an opportunity to become directly involved in the daily operations of the Accounts Receivables department within Treasury Operations. This position requires negotiation skills, excellent oral and written ability, and the aptitude to research payment and reimbursement issues in a fast-paced environment. - Independently manage and collect high volume claims ARs from providers of approximately $25 million annually, while maintaining positive relationships. - Review and analyze aged trial balance monthly for collection activity; initiate dunning letters and telephone contact with providers for past due issues. - Set up and monitor budget arrangements with providers. - Address provider appeals through research and coordination with internal business partners. - Set up manual ARs as required for claim and non-claim receivables. - Utilize systems to expedite recovery through offset deduction process or transfer of funds. - Refer accounts to outside collection agency as appropriate. Qualifications - Excellent oral and written communication skills; proven ability to work well under pressure and communicate clearly with internal and external parties and with all levels within the organization. - Negotiation skills. - High degree of initiative; team player. - High degree of professionalism; ability to effectively interact with all levels of an organization. - Demonstrated ability to independently prioritize and organize a high volume of accounts and varied functions. - Minimum of three years experience in a customer/provider services environment or three years of patient accounting experience in a hospital or professional practice is highly desirable. - Knowledge of claims operations systems (NASCO, Blue Card, FEP, ITS) is also desired. - Proficiency in Microsoft Excel and Word applications required; exposure to MS Access databases is desirable. Requirements - BA/BS preferred or 3-5 years relevant work experience. - Excellent verbal and communication skills are required. - Note: a writing sample will be required as part of the interview process. Benefits - Comprehensive package of benefits including paid time off. - Medical/dental/vision insurance. - 401(k). - Suite of well-being benefits to eligible employees.

• Review and resolve unpaid accounts to ensure timely and accurate reimbursement. • Help reduce aged AR balances while meeting productivity goals. • Verify payer information, review EOBs, and correct account issues. • Document all account activity clearly and accurately. • Identify and report trends, errors or concerns. • Complete tasks and escalations within required deadlines. • Stay updated on payer changes and share relevant information. • Attend required virtual meetings with camera on. • Other projects and duties as assigned.