Job Description
Supports the accurate and timely collection of Medicare, private, and commercial payments. This role provides flexibility in scheduling, with an expected workload of approximately 20 - 24 hours a week.
Responsibilities include:
Initiate AR follow-up of all unpaid or denied claims with the appropriate Payer or Patient
Resolve delinquent accounts in a timely manner by proactively working outstanding accounts
Obtains missing claim information to ensure prompt payment
Research, appeal and resolve claim rejections/denials with the appropriate Payer Respond to written Payer communications as indicated with appropriate action in a timely manner Respond to calls and/or emails from patients regarding billing questions/issues
Update insurance and/or patient demographic information in the practice management system as required during follow up process Communicate payment or denial patterns that impact revenue to management in a timely manner Document daily in the practice management system all follow up and communication on a patient account in a consistent and concise format
Processes adjustments when appropriate and in accordance with policies Maintain knowledge of mental health billing, department policies and procedures Develop and maintain positive working relationships with cross-functional teams, teammates and Payor representatives and other key stakeholders Consistently meet or exceed the department productivity and quality standards and performance requirements Collaborate as needed to identify and resolve underpayments and overpayments
Mentors, trains, educates, and supports Team to facilitate and increase their ability to perform Create training materials and policies as needed Help maintain credentialing accuracy and updates Other duties and responsibilities as assigned
About Herself Health
Herself Health is on a mission to help women get more life out of life, together by building a new model of primary care for women 65+.