Specifications include, but are not limited to: 1. Accept and post daily account files to include payments, adjustments, patient demographics, insurance information, financial activity, and follow-up notesfrom UNMHSC’s electronic files. The file sent daily must be posted within 24 hours. 2. Ability to load, process, and merge/integrate all electronic files into the host system within 24 hours of receipt. 3. Must follow up on all patient accounts within 30 business days. 4. Ability to work both professional and technical claims simultaneously. 5. Must work all accounts within the timely filing limits set by each specific state and payer. 6. Ensure paper claims are mailed timely and tracked by date claim was mailed. Verify and document that claim was received by payer within two weeks of mail date. Document address claim was mailed to and submit claims via certified mail. 7. All documents submitted to payers must be tracked and documented via certified mail, payer portal, or electronic fax. Any other method must be approved by UNMH Hospital management. 8. Record, maintain and archive account follow-up notes to document the collection follow up efforts for audit purposes. Archiving of the documentation must be maintained for a period of not less than ten years. Provide UNMHSC with an XML note file on a daily basis documenting billing, appeals, collection efforts and account status. Comment files should contain specific documentation regarding contact with patients, insurance companies, reference number, correspondence received/sent, telephone number(s) called, name of person spoken to, etc. and all other pertinent information.
