Resolution Coordinator

Job description

POSITION SUMMARY/RESPONSIBILITIES
T he Resolution Coordinator will conduct operational role-based training for all new hires within PBS. This position will assist the Executive Director and Assistant Directors to provide support within several functional working teams; billing, collections, customer service, cash posting and refunds. The Resolution Coordinator will develop, reviews and maintain all standard operating procedures used within PBS.
EDUCATION/EXPERIENCE
• Minimum of 3-5 years in a hospital or physician billing office and/or patient access.
• High school diploma or equivalent is required.
• Knowledge of medical terminology and billing/collection practices.
• Ability to read and interpret insurance explanation of benefits (EOBs).
• Knowledge of payer edits, rejections, rules, and how to appropriately respond to each.
• Accuracy in identifying the cause of rejections/denials and selecting the most appropriate method for resolution.
• Demonstrated proficiency with timely and successful appeals to insurance companies.
• Ability to create professional correspondence to insurance companies and patients.