[Hiring] Single Billing Workplace Buyer Service Consultant @170 Prisma Well being

Function Description

This position includes performing duties of average to troublesome complexity referring to each hospital and doctor accounts.

• Handles a big quantity of inbound calls and makes outbound calls associated to self-pay comply with up on accounts.
• Assists sufferers with requests for info, complaints, and resolving points.
• Accountable for knowledge evaluation and interpretation all through all features of income cycle.
• Determines causes for denials, non-payment, and overpayment.
• Submit/stability/appropriate digital remittances, billing, and follow-up of presidency payers and specialised accounts.
• Evaluation/correction of appropriate coding tips and preparation of accounts for attraction.
• Evaluation/evaluation of insurance coverage credit score balances and evaluation/motion of unapplied, unidentified, undistributed balances.
• Reasonable to troublesome ranges of analysis, evaluation, and determination making required.

{Qualifications}

• Excessive College diploma or equal OR post-high faculty diploma / highest diploma earned.
• Two (2) years billing, bookkeeping, and/or accounting expertise.

Necessities

• Educated of job features required for varied roles together with A/R Observe-up Consultant, Money Posting Consultant, Claims Clearinghouse Consultant, Correspondence Consultant, Credit score Processing Specialist, Denial/Appeals Specialist, Cost Analysis Specialist, and High quality Assurance Specialist.
• Educated of your complete Income Cycle and Epic.

Advantages

• Participates normally or particular assignments and attends all required coaching.
• Adheres to insurance policies and procedures as required by Prisma Well being and follows all compliant regulatory payer steerage.

Firm Description

Prisma Well being is the most important not-for-profit well being group in South Carolina, serving greater than 1.2 million sufferers yearly.

• Our 32,000 crew members are devoted to supporting the well being and well-being of you and your loved ones.
• Our promise is to: Encourage well being. Serve with compassion. Be the distinction.