Third Party Specialist

Job description

Job Summary: Under the direction of the A/R Supervisor, the Third Party Specialist facilitates all phases of the billing process. Responsible for submitting paper and electronic claims to all payers. Following up on current, past due accounts and secondary balances with third party payers, on claims that are denied or unpaid beyond the contracted time frame. Assist supervisor with reporting, analyzing and trending of the accounts receivable. The Third Party Specialist functions as a billing liaison to patients, providers, and insurance carriers, internal and external customers to ensure appropriate reimbursement on claims. Duties and Responsibilities: Review and resolves incomplete data elements identified on discrepancy reports required for billing. Review bill for accuracy of charges, diagnosis, procedure codes and insurance information, and make appropriate adjustments/changes as required. Follows appropriate procedure regarding rebilling functions for late charges and adjustments. Responsible for following up on current and past due accounts to ensure a timely resolution of account. Inform supervisor of denial trends and/or negative factors that impact the accounts receivable....