Company Overview
Ridgeview is an independent, nonprofit healthcare system that serves the southwest metro area of the Twin Cities. Its network consists of four hospital campuses located in Arlington, Chaska, Le Sueur, and Waconia, along with a wide range of primary and specialty care clinics, emergency and ambulance services, specialty programs, the Ridgeview Community Network (an accountable care organization), as well as home health and home medical equipment services, among other offerings.
Job Functions
- Review clearinghouse transactions, identify rejections, make necessary corrections, and generate claims for submission or corrections.
- Monitor and address aged accounts receivables, working to resolve outstanding insurance claims.
- Ensure accurate and timely posting of payments to patient accounts.
- Respond to inquiries related to insurance or billing concerns, following up with the appropriate sources when needed.
- Complete remittance reconciliation.
- Assist and direct external customers to the correct resources for inquiries.
- Provide professional and courteous customer service to both internal and external customers.
- Stay informed about insurance policies and billing guidelines.
- Perform additional duties as assigned.
When Acting as a Lead:
- Train and mentor new and existing staff.
- Support the Director with hiring, team communication, and answering team member questions.
- Communicate team concerns or issues to the Director as needed.
- Perform other related duties as assigned.
Minimum Education/Work Experience:
- High school diploma or equivalent.
- At least 1 year of professional medical billing experience, or a proven track record demonstrating the ability to problem-solve, attention to detail, and initiative.
Knowledge/Skills/Abilities:
- Proven experience with claim submission.
- Ability to meet and maintain required background checks for the role.
- Strong communication skills in English, both written and verbal, to effectively complete job functions.
- Analytical skills for problem-solving and decision-making.
- Ability to respond to unpredictable situations and work with diverse patient populations.
- Ability to work independently and as part of a team.
- Good critical thinking and problem-solving skills to make independent decisions.
- Proficiency in basic computer functions and Microsoft Office applications.
- Ability to multi-task and serve patients efficiently and courteously.
- Strong basic math skills.
Preferred Qualifications:
- Familiarity with medical terminology.
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