Post Payment Review Lead at Northside Hospital Inc., Atlanta, GA
Post Payment Review Lead at Northside Hospital Inc. in Atlanta, GA. Contract. Est. up to $100k. Apply with swipeandhired.
Category
Bus. Office/Insurance
Position Type
Full - Time
Shift
Day
Work Hours
7am -3:45pm
Location/Org Data: Name
Perimeter Summit
Location: Address
1001 Perimeter Summit Pkwy
Location: Postal Code
30319
Referral Bonus Amount
Not Eligible
Facility: Location
US-GA-Atlanta
Overview
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities
Acts as a lead, coordinating the work of Reimbursement Specialists. Resolves more complex inquiries and/or complaints escalated by the Reimbursement Specialists. Performs all duties of the Reimbursement Specialist job. This position also requires trending, reporting, and escalation of any identified issues contributing to the payment discrepancies along with collaborative development of long-term solutions for future prevention.
Qualifications
REQUIRED
- Four (4) years’ experience in patient accounting or healthcare reimbursement or an Associate degree with two (2) years’ experience.
- Prior experience with interpreting UB04 billing documents and EOB remittances against managed care contracts, and adjustment processing.
- Basic knowledge of hospital terminology applicable to patient billing.
- General knowledge of HMO/PPO contracts and credit balance.
- Good oral and written communication skills.
- Demonstrated knowledge of ten (10) key calculators, and personal computers and computer spreadsheet programs.
- Must be able to perform basic mathematical calculations.
PREFERRED
- Prior leadership experience.
- Associate’s degree in Business or related field
Work Hours (EX:7AM-7PM):
7am -3:45pm
Weekend Requirements:
No
On-Call Requirements:
No