Financial Specialist (Collections) - Institutional Review Board

Job description

The Financial Specialist is responsible for billing and collection activities, which may include verification of insurance, pre-certifications, deposits and reconciliation of co-pays and self-pays, updating financial information in appropriate software applications and providing information on billing matters. - Ensures claim edits and accounts receivables are resolved in an efficient and timely manner. - Monitors collections for Institutional Review Board. - Resubmits claims for payment with appropriate updates and documentation as needed. - Responds to patient and third party inquiries; researches and resolves problems; corrects errors and refers most complex issues to supervisor. - Reviews correspondence and rejection data from insurance carriers; posts rejections and balances in appropriate financial classification. - Transfers secondary balances to appropriate financial class and provides documentation for processing the claims. - Reviews Credit Letter Sent (CLS) and transfers balance to appropriate financial class and dunning level. - Prepares and submits referring physician updates and other major dictionary or master file request to supervisor for approval. - Assists Billin...