Hospital Care Investigator (000494)

A member of the revenue cycle process billers are responsible for reviewing accounts correcting claim edits preparing and completing claims for submission to payers posting all types of payments and updating patient accounting systems. They will perform related functions in support of the Patient Financial Services operations and other duties as assigned. The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position nor does it restrict the duties which may be assigned to the position within the revenue cycle process.

Complete both paper and electronic claims in a timely manner. Effectively use computer systems Document patient information clearly and completely in systems. Interact with other departments to complete billing on accounts. Process rejections denials and other correspondence in a timely manner. Process pre authorizations documenting responses in the system and following up as needed Audit patient accounts for accuracy.. Apply adjustments as needed. Provide billing costumer service and ensure that conversations are documented accurately. Processing statements and entering information into database; and reviewing past due bills and following up on past due accounts. Generate Patient Balance Aging report and Insurance Aging report and following with patients and insurances accordingly. Arrange payment schedules with patients. Refer accounts requiring escalation to Supervisor in a timely manner. Attend all necessary training sessions to effectively perform the day-to-day functions of the position Perform all other duties as assigned by the Manager or Supervisor.

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