PFS Underpayment Support

JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. An underpayment specialist identifies and performs follow-up to secure payment on underpaid insurance accounts. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Review referred accounts to validate an underpayment exists. * Analyze expected reimbursement variance reports to identify underpayments on closed carriers. * Submit adjustment requests as needed to correct account balances due to incorrectly applied contractual adjustments. * Input appropriate information into Interpoint, and assign identifying collect