Billing & Posting Resolution Advocate (ECW and RCM)

Job description

The Billing and Posting Resolution Advocate is responsible for overseeing claims production, billing, follow-up, collections, and compliance with third party payer regulations. Daily billing of insurance claims, follow up on unpaid claims, denial management and filing appeals when appropriate to obtain maximum reimbursement. Review daily, weekly, and monthly reports. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Possess complete understanding of the billing/collection process to resolve complex, outstanding claims. Ensures accounts are billed accurately and timely by providing proactive oversight and direction for billing and collections. Maintains current knowledge of hospital billing systems and government payer systems, including applicable federal/state laws and regulations, as well as all aspects of third-party reimbursement policies and practices Pro-active communication/escalation of potential claims/unbilled accounts/issues to the Team Lead Exhibits excellent leadership and self-direction, good judgement in handling difficult situations and good organizational, time management, interperso...