Essential Duties and Responsibilities :

To perform this job successfully , an individual must be able to perform each essential duty satisfactorily . The requirements listed below are representative of the knowledge, skill, and /or ability required . Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions . This job description is not intended to be all -inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and /or hospital administration as required .

Maintains utmost level confidentiality at all times .
Adheres to DHS policies procedures .
Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines .
Perform any other duty as assigned by the Supervisor, Manager or Director .
Follow up on claim denials with a focus on high dollar and older dates of service as a priority.
Carry out collection and reporting activities according to management directives.
Reconciliation of accounts.
Follow established procedures for processing claim denials.
Investigate and resolve guarantor accounts.
Process adjustments , when needed.
Utilize The Driscoll Way in communications via phone, email, mail or personally .
Notify the Supervisor or Manager of any denial trends .
Notify the Supervisor or Manager of any system problems and /or issues immediately.
Effectively demonstrates DHS's philosophy , values and mission.

EDUCATION AND/OR EXPERIENCE

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