Responsibilities
Responsible for accurate and timely billing of physician claims with Government and Commercial payers.
Validates claims information to ensure compliance and reimbursement accuracy.
Corrects and resubmits claims as needed if rejected by the Clearinghouse.
Act as a liaison between the Revenue Operations (Business Office) department and payers in resolving billing and reimbursement accuracy.
Process denials and prepares appeals with the appropriate documentation.
Follows up on outstanding claims for appropriate and timely reimbursement.
Monitors and maintains appropriate volumes of assigned account inventory.
Files and follows up on Third Party medical claims.
Collaborates with other departments as well as physician practices to ensure the accuracy of claims information.
Processes ERAs / EOBs for posting of adjustments on accounts.
Other duties as assigned by management.
Qualifications
Equivalent to high school diploma or general education degree (GED).
1 year experience in hospital or physician billing
Preferred
Epic and Relay experience
Knowledge / Skills / Abilities
Strong computer skills and demonstrated competence in MS Office, Word, Excel software applications.
Familiarity with Commercial payor, Medicare, and Medicaid rules and regulations.
Ability to multi-task effectively without compromising the quality of the work.
Excellent interpersonal, verbal and written communication skills.
Strong sense of personal responsibility for tasks assigned; ability to work with others & accept direction.
Self-motivated, reliable individual capable of working independently as well as part of a team.
Benefits
- Medical, dental, and vision insurance
- Paid time off
- Tuition Reimbursement
- 401K
- Paid time to volunteer in your local community
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