Openings >> Trauma Analyst Full time
Trauma Analyst Full time
Summary
Title:Trauma Analyst Full time
ID:1653
Department:PRD
Location:Main Clinic--Columbus, GA
Description
 This company is an equal opportunity employer and makes employment decisions without regard to race, color, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. This company is a VEVRAA Federal Contractor.
 
Position Goal: Maintains overall understanding of assigned payor to include what is covered versus non-covered Serves as a liaison between clinic and assigned payor.
 
Position Responsibilites;
  • Organizes clinic claims for electronic or hard copy mail and forwards to appropriate third party payors.
  • Reviews claims to make sure that the payor specific billing requirements are met, follows up on billing, determines and applies appropriate adjustments, answers questions and updates accounts as necessary.
  • Manage assigned Payor hold/Manager hold buckets.
  • Assists patients with questions/payments on their accounts.
  • Appropriately appeal insurance claims in a timely manner.
  • Research and write up refunds.
  • Establish /maintain relationships with Trauma Hospital Intake and authorization departments.
  • Vast knowledge of Meditech and Citrix patient management systems.
  • Vast understanding or State Law Medical Billing Requirement.
  • Communicate and management of Out of Network State billing policies.
  • Performs other duties as assigned by Management.
Experience: Minimum of three years medical collection experience.  Knowledge of CPT and ICD-10 terminology. Coding certification preferred.  Familiar with standard concepts, practices and procedures of this particular field.
Education: Requires high school diploma or equivalent
Special Qualifications: Must be able to work independently. 

 

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