Responsible for workflow and communication with programs on documentation corrections. Responsible for reports notifying programs and management the status of documentation. Responsible for scanning all paper documentation including downloading & maintaining all paper and electronic remittance & payment source documents/files. Responsible for reviewing remittances and documenting claims issues into program management system and notifying biller of denial or processing error. Assist billers in researching, submission of denied claims for Medicaid, MCO, invoice claims and occasionally TPL denials. Assists in research to resolve partial payments and unapplied cash on client accounts. Reads and comprehends instructions and informs Revenue Cycle Manager of necessary issues for claim submission and resolution. Possesses the interpersonal skills necessary to interact with consumers and Valley staff, including managers, to resolve any billing questions/issues. Presents and projects a professional, business-like image to consumers and Valley staff.
ESSENTIAL DUTIES:
MINIMUM QUALIFICATIONS: ______________________________________________________________________________
PREFERRED QUALIFICATIONS: ____________________________________________________________________________