Job Summary:
Under the general guidance of the Financial Services Management Team, the Payer Collection Clerk independently reviews open hospital accounts to ensure they have been billed in accordance with appropriate Federal, State, third party payor and Financial Services rules, regulations and procedures as well as that any correspondence, denials or third party payments have been processed correctly. It is the responsibility of the Payer Collection Clerk to contact the insurance carrier that has been billed and determine the reason for the unpaid balance and resolve based on these findings. The Payer Collection Clerk will use independent judgment to take various actions such as faxing information to the payer, preparing an appeal or referring the account for self pay collection to the Attorney Generals Office or other collection agency. The Payer Collection Clerk is also responsible to update any account with new or corrected insurance information once it has been billed. This ...