Job Description
Summary
Coordinates insurance medical claims.
Job Duties
- Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website.
- Works on complex and/or specialized cases.
- Provides assistance with inquiries from outside parties regarding account status and possible resolutions.
- Utilizes specialized knowledge of regulatory or contractual billing guidelines to determine an account’s ability to pay after initial rejection from payer.
- Resolves all denials, and requests for information, including appeals.
- Identifies trends in payer non-compliance and informs management accordingly.
- Follows up on outstanding accounts and makes proper notations in EPIC system and logs.
- May provide guidance and technical work direction to less experienced staff.
- Performs other job-related duties as assigned.
Minimum Qualifications
- High School Diploma or GED.
- Minimum of two years of experience working in a medical setting, to include medical insurance and/or accounts receivable follow-up.
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine fosters diversity among its students, trainees, faculty and staff as a prerequisite to accomplishing our institutional mission, and setting standards for excellence in training healthcare providers and biomedical scientists, promoting scientific innovation, and providing patient-centered care. - Diversity, respect, and inclusiveness create an environment that is conducive to academic excellence, and strengthens our institution by increasing talent, encouraging creativity, and ensuring a broader perspective. - Diversity helps position Baylor to reduce disparities in health and healthcare access and to better address the needs of the community we serve. - Baylor is committed to recruiting and retaining outstanding students, trainees, faculty and staff from diverse backgrounds by providing a welcoming, supportive learning environment for all members of the Baylor community.
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