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Accounts Receivable Specialist in Indianapolis, IN at Eskenazi Health

Date Posted: 5/19/2019

Job Snapshot

Job Description

Organization: HHC

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 315-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.

JOB SUMMARY:

The Accounts Receivable Specialist reviews and follows up on all claims not paid by carriers in a timely manner and claims not paid appropriately. This position reviews reports to determine trends and discusses with management to help resolve front-end errors. The Accounts Receivable Specialist calls insurance carriers and writes appeals as necessary for appropriate and compliant payment of claims.

ESSENTIAL JOB FUNCTIONS:

Proactively contributes to Eskenazi Health's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health values

  • Adheres to customer-oriented turnaround timeframes; follows up on patient calls within the same date
  • Maintains department production, reduction of accounts receivable by bringing payments in and meets quality goals on a daily basis
  • Maintains productive and professional interactions with all insurance carriers and co-workers and all team members within and outside of Eskenazi Health
  • Conveys expected service message of positive assistance and support
  • Acts independently to resolve problems, seeking guidance when necessary and remains compliant with all rules and regulations for medical policy
  • Initiates the proper course of action for problem resolution based on job knowledge and experience
  • Demonstrates ability to access patient information by using multiple applications
  • Determines the caller's needs and takes appropriate actions
  • Re-bills claims as necessary, always contacting the carrier first to see what they need to process claims appropriately
  • Analyzes all claim denials to determine the best course of action to resolve any issue and receive appropriate payment
  • Verifies and updates all claims when insurance and other information changes need to be made
  • Ensures patient demographic information is the most accurate when speaking to the patient or read notes when there are address or phone issues reaching the patient
  • Bills and follows-up on new and aging accounts receivable
  • Resolves inquiries from internal and external customers
  • Takes active role in special projects as requested
  • Gathers and distributes insurance information obtained through verbal and/or written communication for the purpose of maintaining sufficient cash flow
  • Directs and answers inquiries regarding patient accounts to/from patients (if the call center is not able to respond), agencies, and third party payers
  • Updates patient contact information within various patient financial systems for the self-pay outsource vendor as necessary
  • Analyzes and resolves issues reported from the self-pay outsource vendor; reports from vendor provided weekly
  • Maintains productivity and quality assurance outlined by the department
  • Concentrates on call handling time as identified by the department
  • Utilizes interpersonal communication strategies/skills to achieve desired outcome/results with patients/families and others
  • Provides coverage for co-workers as necessary due to PTO/illness

JOB REQUIREMENTS:

Three (3) years of experience in medical practice setting working account follow-up and insurance appeals preferred. High School diploma or equivalent required, Associate Degree in business-related field preferred

  • CPC certification a plus
  • Dental, vision and/or DME coding a plus

Accredited by The Joint Commission and named one of the nation’s 150 best places to work by Becker’s Hospital Review for three consecutive years and Forbes list of best places to work for women, and Forbes list of America’s best midsize employers’ Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care – Center of Excellence in Women’s Health, just to name a few.

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