The Paid Healthcare patient account representative/s is an experienced employee who generates medical claims authorizations for approved services after examining patient registration eligibility and alternate healthcare resources eligibility. The available Paid Healthcare budget is limited and as a result, the employee's purpose is to ensure compliance with established budgets, policies and practices. The employee has an assigned processing range (alphabet and or vendors) and may pick up other reporting and processing duties as needed during the year.
MINIMUM QUALIFICATIONS: AA or three years of experience in a medical field. Experience in implementing CHS/ program policies and procedures; Demonstrated successful experience in reading, interpreting program guidance, contracts, and regulations and implementingthose regulations at the local level; Experience with the RPMS computer system, FI computer system, fax machine, scanning is preferred, but not required; Some College coursework in Health Services, Public Health, Business Administration, Human Resources, or other relevant field preferred; Must possess a valid driver's license.
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