Job Description
Job Description
Benefits :Minimum Qualifications :
- Minimum two to three years of experience in medical billing.
- Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
- HSD / GED
Preferred :
- Knowledge of computer systems. Experience with GE patient management system p
- Knowledge of the physician billing processes, ICD-10, and CPT coding.
Essential Functions
- Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials / rejections.
- Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
- Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
- Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
- Obtains and attaches referrals / authorizations to appointments / charges.
- Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
- Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
- Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.
- Identifies and communicates trends and / or potential issues to the management team.
- Follows and maintains all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.
About us :
The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona : The Best of Arizona Businesses!?
- 1 for Orthopedic Practices
- 1 for Healthiest Healthcare Employers
- 3 for Best Healthcare Workplace Culture
- Winner in Best Places to Work
Medical Biller/Insurance follow up
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. Minimum two to three years of experience in medical billing. Reviews insurance denials and rejections to determin...
Insurance Follow-Up Specialist
A company is looking for an Insurance Follow-Up Representative to ensure proper billing and reimbursement processes. ...
Insurance Follow-up Specialist - Tempe
The Insurance Follow-Up Specialist is responsible for reviewing rejected claims, posting insurance payments, and resolving outstanding insurance balances. Resolving outstanding medical insurance AR by researching unpaid claims via insurance calls and portal navigation. Call insurances and use payer ...
Follow Up & Collections - Billing Specialist III - Phoenix, AZ - Sign on Bonus up to $7,500 effective through 7/31/2024
Demonstrates, performs an understanding of insurance collections to include; payment in full (negotiation) offers, overpayment reviews and approvals, next action on correspondence, insurance types, insurance classes, in compliance with PHI's billing policies and procedures . Research, evaluate and c...
Insurance Follow-up Specialist - Tempe
The Insurance Follow-Up Specialist is responsible for reviewing rejected claims, posting insurance payments, and resolving outstanding insurance balances. Resolving outstanding medical insurance AR by researching unpaid claims via insurance calls and portal navigation. Call insurances and use payer ...
Follow Up & Collections - Billing Specialist IV - Phoenix, AZ - Sign on Bonus up to $7,500 effective through 7/31/2024
Demonstrates, performs an understanding of insurance collections to include payment in full (negotiation) offers, overpayment reviews and approvals, next action on correspondence, insurance types, insurance classes, in compliance with PHI's billing policies and procedures. Research, evaluate and com...
Insurance Follow-up Specialist
Follow-up with Out-of-State Medicaid billed claims regarding claim status and resolution of payments in a timely manner. Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event. Dependent upon position, identify root cause of issues and concern...
Follow Up & Collections - Billing Specialist IV - Sign on Bonus up to $7,500 effective through 7/31/2024
Demonstrates, performs an understanding of insurance collections to include payment in full (negotiation) offers, overpayment reviews and approvals, next action on correspondence, insurance types, insurance classes, in compliance with PHI's billing policies and procedures. Research, evaluate and com...
Security Guard - Receptionist (Full Time)
Security Guard - Receptionist (Full Time). Security Guard - Receptionist (Full Time). ...
Part Time Administrative Assistant (Temp Level 3)
KJZZ seeks a part time Administrative Assistant to provide excellent customer service to its members and administrative assistance to leadership. Part Time Administrative Assistant (Temp Level 3). ...