MaineGeneral Health Waterville, ME, USA
Accounts Receivable Resolution Specialist Waterville, ME Apply Job Summary: MaineGeneral Health is looking for our next superstar to join our Accounts Recievable team. This position is responsible processing accurate payor claims to ensure timely reimbursement, and resolves denials of payment and incorrect payments from insurance carriers Job Description: Prepares bills in the paper and/or electronic format designated by departmental and payer guidelines and transmits appropriately. Prepares, reviews, and edits claims for accuracy and submission to payers as required, ensuring proper diagnosis and procedure codes. Reviews and resolves claim rejections, denials and appeals and issues, prepares secondary and tertiary claims as required. Determines and verifies insurance coverage and coordination of benefits to ensure timely billing and follow-up when claims do not process and pay timely. Obtains retro-authorizations as needed and allowed. Prepares and reviews routine billing...