Appeal Resolution Specialist jobs in West Virginia

Responsible for the effective follow-up and collection of high dollar, delinquent, and problem account receivable claims.

Responsibilities

• Follow up on accounts $300.00 and over having received one or more unanswered statements. • Obtain necessary information from guarantor/insurance company to obtain reimbursement. • Research liability accounts. • Review accounts to determine if they meet charity guidelines. • Receive incoming calls and mail that are within the assigned area of responsibility. • Make adjustments on accounts as needed.

Knowledge, Skills & Abilities

1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned.

Education

• High School Diploma or GED (Required)

Experience: 1-2 years collections, customer service, or other comparable experience. Medical Terminology background and 5-7 years related experience preferred.

Credentials

• No Certification, Competency or License Required

Work Schedule: Days

Status: Full Time Regular

Location: General Hospital

Location of Job: US:WV:Charleston