Resolution Coordinator

POSITION SUMMARY/RESPONSIBILITIES

T he Resolution Coordinator will conduct operational role-based training for all new hires within PBS. This position will assist the Executive Director and Assistant Directors to provide support within several functional working teams; billing, collections, customer service, cash posting and refunds. The Resolution Coordinator will develop, reviews and maintain all standard operating procedures used within PBS.

EDUCATION/EXPERIENCE

1. Minimum of 3-5 years in a hospital or physician billing office and/or patient access.
2. High school diploma or equivalent is required.
3. Knowledge of medical terminology and billing/collection practices.
4. Ability to read and interpret insurance explanation of benefits (EOBs).
5. Knowledge of payer edits, rejections, rules, and how to appropriately respond to each.
6. Accuracy in identifying the cause of rejections/denials and selecting the most appropriate method for resolution.
7. Demonstrated proficiency with timely and successful appeals to insurance companies.
8. Ability to create professional correspondence to insurance companies and patients.