Financial Specialist 2 - Back End
In this role, you will be primarily responsible for the timely and accurate follow-up of assigned claims. You will process claim denials for multiple payer types (i.e. Commercial, Medicare, Medicaid, etc.) and ensure that all assigned claims meet clearinghouse and/or payer processing criteria. Your ability to ensure appropriate follow-up on assigned work lists while meeting all departmental productivity and quality review standards is of vital importance. Providing team management with issues regarding the claims follow-up process is expected.
Accepts responsibility to review and correct errors before completion and routes to others for review when appropriate.
Participates in process improvement activities and makes suggestions for new or revised policies and procedures.
Reports all near misses, accidents and occurrences for patients, visitors and staff. Observes working environment for potential and actual hazards. Attends patient safety training and maintains current safety certifications – if required.
Responds to problems with a sense of urgency. Uses a logical process to identify problem origin and develop appropriate solutions.
Demonstrates an understanding of frontend functions that initiate patient care such as scheduling, registration and care management.
Informs and consults with team members, leaders and stakeholders about potential barriers that impact team results.
Anticipates overload and peak work conditions and makes plans/identifies resources to resolve them.
Demonstrates an understanding of account resolution processes such as benefit verification, insurance classification, billing complaint claims and account follow up.
High school or GED
3 years of patient access experience
Basic communication and computer skills. Proven history of sound decision making, problem solving, and analytical thinking.