DUTIES/RESPONSIBILITIES

(include but are not limited to the following)

Timely Submission and Posting:

Complete claim submission, payment posting, remittance advice, credits and follow-up activities within established timeframes to maintain healthy revenue cycle performance.

Accuracy and Quality Control:

Verify data integrity at each step of the billing and payment process to reduce errors, denials and rework. Ensure timely and accurate reconciliation of daily deposits, credits and remittance advice.

Problem-Solving & Continuous Improvement:

Identify process gaps or inefficiencies and participate in solutions that improve revenue cycle outcomes.

Productivity and Performance Monitoring:

Meet or exceed productivity standards while contributing to team goals for quality and timeliness.

• Communicate effectively with patients, providers, and payers to ensure timely resolution of account balances.

Maintain thorough and precise account documentation to support audits, payer review, and continued follow up.

• Resolve coding errors with Health Information Management.
• Research and prepare refunds according to hospital policy.
• Participate in educational programs and in-services when available.
• Display and promote company values.
• Regular attendance in accordance to the WCHC attendance policy.
• Other duties as assigned.