Insurance Coordinator - Corporate Patient AR Mgmt - Full Time - Towanda, PA

Sayre, PA, United States
Jun 11, 2021

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Job Description

Guthrie Entity

The Guthrie Clinic

Shift

Not Applicable

Pay Grade

TGC/A9

FLSA Status

Non-Exempt

Main Function

Fulfills all requirements of an Insurance Billing Specialist  II as well as identifies, analyzes and takes the necessary action to submit complex appeals to insurance payers.  Reviews all medical chart and account documentation in order to determine appropriate coding and initiate corrected claims and appeals.  Interprets payer guidelines, regulatory guidelines, contractual obligations and works with Department Management to ensure regulations/requirements are met. This position requires a thorough understanding of the requirements of the Government and Non-Government payment policies & payer contracts. Trains Insurance Billing Specialists and related support staff, participates in billing projects and system testing as a Subject Matter Expert (SME).  Works directly with Billing staff, Billing Supervisor/Manager/Director, Application Analyst and CRC departments when needed, to resolve complex issues and denials through independent research and assigned projects.  This position works closely with a team of Denial Resolution Specialists to analyze and take corrective action on payer denials to ensure an optimum revenue cycle workflow.

Education

Associates degree and/or CPC, CCA, RHIT, RHIA  or certification in medical billing and coding is required.  Certification may be waived for years of experience and/or candidates actively pursuing certification.

Experience

Minimum 3 years experience in insurance billing and/or coding.  Must have proven experience in performing required tasks independently while contributing to the team environment.  Strong organizational and customer services skills are a must.  Previous experience in performing in a high volume and fast paced environment and demonstration of self-motivation to develop and maintain the knowledge and skills for the position.  Demonstrate ability to work independently and collaboratively.

How To Apply

Guthrie is an equal opportunity employer. To apply for a position at Guthrie please visit www.guthrie.org/careers

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Job Info

Jun 11, 2021

121332-1A

United States

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