Recon department conducts accounting reconciliation of patient accounts in accordance with payer terms, regulatory guidelines, while meeting company standards of quality and productivity. Reconciliation department maintains a current knowledge of insurance, contracted provider, Medicare and state Medicaid terms and a current knowledge of related company accounting procedures and policies.
Desired Qualification are:
Ten key experience and personal computer and typing skills are required.
Excellent organization, customer services and critical thinking skills.
Requires basic knowledge of insurance contract language.
Should have the ability to evaluate payer remits for accuracy according to payer guidelines.
Must be able to work independently with minimal supervision
Should demonstrate proficiency in reviewing accounts, EOB's and identifying specific payer requirements.
Should be familiar with computer applications, spreadsheets, database, and be able to learn, apply and adhere to legal documentation
Patient Finical Services Credit Balance Unit Department:
The Credit Balance Unit is responsible for timely and accurately processing refunds for Insurance/Patient over payments. All Insurance Payers are our responsibility working Medicare, Medicare HMO, Blue Cross, Tricare, AHCCCS and Contracted HMO payers. We work as a Team to meet Unit goals and provide Excellent Customer Service.
Desired qualifications are:
Strong Analytical skills
Critical Thinking skills (able to think outside the box)
Ability to reconcile accounts to identify cause of over payments
Strong computer skills in order to work independently on various computer systems
Able to work independently once trained
Strong Organizational skills
General knowledge of Medical Terminology, CPT/Hcpcs and ICD codes
Excellent Customer Service skills to assist Patients and Insurances
Knowledge of Insurance billing or work experience in Hospital or Physician office is preferred but not mandatory.
About Banner Health Corporate Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system incl...udes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many locations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.