The Credit & Collections Rep II (CNPA) will be responsible for insurance follow up and resolution of guarantor/insured liability in accordance with CP&A Policy and Procedure. Establish and follow up on guarantor payment agreements. Responsible for incoming calls and telephone coverage assisting caller with questions and complaints using the highest customer service skills. Investigate account and insurance reimbursement questions to the guarantor's/callers satisfaction. Ability to resubmit or appeal claims on behalf of the insured as necessary.Qualifications:Minimum EducationHigh School Diploma or GED (Required)Minimum Work Experience5 years Physician Business Office (Required)Required Skills/KnowledgeKnowledge of insurance billing and reimbursement/patient liability, AR and Revenue Cycle process.Understanding of managed care contracts and insurance compliance.High level problem solving skills, subject matter expert, account analysis and resolution.Ability to multi-task and work independently.Excellent communication (written and oral) and customer service skills.Computer skills using Windows, Payer Web Search, Excel, Word.Functional AccountabilitiesClaims
Children's National Hospital
06/01/2024
Silver Spring,MD