Job Description
About the position
- Responsibilities
- Submit all claims in a timely and accurate manner according to department and payer processes.
- Analyze and review outstanding accounts receivables.
- Prepare appeals and corrected claims for resubmission to maximize reimbursement.
- Review patient eligibility to determine the correct payer for specific dates of service.
- Prepare claim data to produce a 'clean' claim according to department and payer regulations.
- Transmit claims timely to payers and work on EDI rejections.
- Post charges, payments, and denials accurately in the practice management system.
- Work on denials, prepare appeals, and resubmit claims to resolve open accounts receivable.
- Report unusual trends to the supervisor.
- Utilize insurance and practice management online systems for eligibility, claim status, and claim correction.
- Process insurance and patient refunds as necessary.
- Answer patient and department calls and assist with inquiries regarding patient statements.
- Establish payment arrangements when appropriate.
- Reconcile batch totals at day end to ensure accuracy of posted totals and transactions.
- Identify and correct discrepancies prior to opening future batches.
- Requirements
- 1-2 years of medical billing experience or a medical billing certification.
- Knowledge of CPT and ICD10 coding and compliance preferred.
- Familiarity with medical terminology.
- Combination of education and equivalent experience will be considered.
- Benefits
- Tuition reimbursement
- Comprehensive benefit package
- Growth opportunities
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