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JOB SUMMARY/PURPOSE
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Responsible for accurately and productively analyzing Physician and Facility accounts. Identifies, researches and forwards problem accounts for the purpose of resolution. Serves as a resource for staff as needed.
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DEPARTMENT DESCRIPTION
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The Regional Business Office is responsible for the accurate and timely follow-up on claims for services provided at all lines of business in all service locations.
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EXPERIENCE/EDUCATION/QUALIFICATIONS
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High school diploma or equivalent required. College preferred.
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Two (2) year collections, finance/accounting or medical billing experience required.
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One (1) year experience equivalent to an SHS Account Analyst level I role required.
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Experience or training in the following required:
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EPIC Software.
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ICD-9 or CPT.
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Medical Terminology.
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Two (2) years medical business office experience preferred.
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KNOWLEDGE/SKILLS/ABILITIES
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Confidentiality: Knowledge of the importance of confidentiality.
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Communication: Communicate information verbally and in writing so others will understand.
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Customer Service: Ability to communicate to people internal and external to the organization and to represent the organization to customers, the public and external sources.
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Problem Solving: Ability to identify problems and review related information using logic and reasoning to evaluate options and implement solutions.
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Team Building: Ability to work as part of a team or on your own.
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Knowledge of policies and procedures related to the resolution of accounts/claims.
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PHYSICAL DEMANDS
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Rarely
(1 - 10% of the time)Occasionally
(11 - 33% of the time)Frequently
(34 - 66% of the time)Continually
(67 – 100% of the time)CLIMB - STAIRS
LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
CARRY 1-handed, 0 - 20 pounds
CARRY 2-handed, 0 - 20 pounds
BEND FORWARD at waist
KNEEL (on knees)
STAND
WALK - LEVEL SURFACE
ROTATE TRUNK Standing
REACH - Upward
PUSH (20-40 pounds force)
PULL (0-20 pounds force)
SIT
ROTATE TRUNK Sitting
REACH - Forward
MANUAL DEXTERITY Hands/wrists
FINGER DEXTERITY
PINCH Fingers
GRASP Hand/Fist
None specified
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High school diploma or equivalent required; 2 years collections, finance/accounting or medical billing experience required; 1 year SHS Account Analyst level I experience required; EPIC, ICD-9 or CPT, medical terminology training required.
Key Responsibilities
- analyzing accounts
- researching problem accounts
- resolving claims
Skills & Tools
EPIC, ICD-9, CPT
Job Details
- Category: Finance and Accounting
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — Alabama or Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
- Languages: English
About Samaritan Health Services
A regional healthcare system providing medical services and health plans. — Industry: Healthcare