Job Description
Job Description
Responsible for hospital and physician billing and follow-up. Must have experience with commercial and government payers.
Responsibilities include follow-up for payment, work denials, appeals, and research.
This position will require the selected candidate to work on-site for the first two weeks, then 100% remote for the remainder of assignment.
Wo rk Schedule Mon-Friday 7 : 30am-4 : 00pm and one Saturday / month 8am-noon. This a temporary, 12 week contract assignment that may lead to permanent employment after the initial contract is fulfilled.
Essential Duties and Responsibilities :
Includes the following : (Other duties may be assigned)
1. Effectively work a high volume of claims daily
2. Follow-up with insurance companies to determine claims status
3. Follow through on appropriate action to expedite claims payment in accordance with hospital policies and procedures
4. Send correspondence as necessary to resolve claims
5. Ensure all accounts are properly documented and in a timely manner
Qualifications :
Must have a combination of education and experience within the field of healthcare revenue cycle including knowledge of commercial, Medicare, Medicaid, VA, Tricare and Worker's Comp payers.
Insurance Follow-up required and Billing knowledge is a plus. Must be fluent in English and Spanish and able to read, write and speak in both languages.
Required Minimum Skills :
- Ability to problem-solve & troubleshoot insurance claims
- Working knowledge of Managed Care, Medicare and Medicaid
- Experience with Anesthesia billing and follow-up is a plus however it is not a requirement.
- Knowledge of Word and Excel
- Ability to work on multiple client systems
- Detail-oriented
- Focused on achieving personal, team and company goals
- Team-oriented but can also work independently
- Flexible to ongoing change
- Exceptional customer service and telephone skills
- Ability to handle high phone volume and
- Excellent verbal and written communication skills
- Excellent attendance record expected
Education and / or Experience, Skills and Abilities :
Ability to communicate clearly and respectfully by telephone and in written form to clearly document account activity.
Requires working knowledge of personal computers and automated dialer systems.
Knowledge of all related regulations including but not limited to individual client policies, procedures and HIPAA.
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