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Urgent! Appeal Resolution Assistant Position in Port Jefferson - John T. Mather Memorial Hospital

Appeal Resolution Assistant



Job description

Duties:

A good understanding of Managed Care, State and Federal contracts.

Communicates with Patient Accounts staff on underpayment issues by running variances reports, tagging, and tracking accounts in Soarian Financials.

Works closely with the Director of Appeals Resolution on underpayment projects and appeals.

Runs variance reports by utilizing Crystal Reports and Excel.

Communicates (either verbal or written) with insurance companies, Northwell Managed Care, or patients in an intelligent manner regarding billing and payments.



Qualifications:

High School diploma, some college preferred.

5+ years direct experience working with insurance companies preferred.

Ability to handle large volume of accounts.

Previous experience in customer service.

Experience with


hospital UB04 billing and a very strong understanding and experience working on professional 1500 billing is required.

Intermediate level experience with Microsoft Word, and Excel.

Excellent reading, writing and math skills.

Excellent communication skills.

Comprehensive understanding of Provider Accounting in Soarian Financials preferred.

Extremely detail oriented.

Understands the full Revenue Cycle from Registration through claims payment.

Soarian experience required.


Required Skill Profession

Financial Clerks



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