Researches and reviews outstanding patient accounts and processes claim denials. Involves verifying patient eligibility, updating demographic and medical insurance coverage information, processing re-bills and adding documentation into the billing system.

ESSENTIAL JOB FUNCTIONS:

• Resolves billing issues by correctly answering questions; determining and recommending how outstanding accounts should be further processed; providing appropriate follow-up on issues; reviewing department log books to obtain accurate information; rebilling patient accounts and communicating with internal personnel, third-party payers, employer groups and attorneys to obtain correct patient account information.
• Researches and reviews patient accounts to determine accurate account information and updates the billing system with accurate account information. Includes monitoring and reviewing various departmental reports.
• Identifies and reports trends in carrier payments and denials. Includes maintaining database of insurance carrier requirements.
• Maintains knowledge of current government and/or carrier regulations relevant to the industry.
• Prepares reports and/or sends specialized invoices when necessary.
• Performs and assists with other department duties as needed.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of and skill in using personal computers in a Windows environment with an emphasis on basic word processing and data entry onto spreadsheet programs.
• Knowledge of medical insurance and its terminology.
• Basic knowledge of ICD-10 and CPT codes.
• Ability to pay close attention to detail.
• Ability to identify, research and solve problems and discrepancies.
• Ability to communicate with employees, management and payers in a courteous and professional manner.
• Ability to maintain confidentiality.
• Ability to process assigned duties in an organized manner.
• Ability to perform basic mathematical calculations such as adding, subtracting, multiplying and dividing.
• Ability to effectively perform in a multi-task work environment.
• Ability to work overtime when needed.

EDUCATION AND EXPERIENCE:

• High school diploma or equivalent.
• At least one year of medical insurance or billing experience or equivalent training or education.

Work Remotely

• Temporarily due to COVID-19

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

Education:

• High school or equivalent (Required)

Experience:

• denials: 2 years (Preferred)
• Medical Billing: 3 years (Preferred)
• Microsoft Excel: 3 years (Preferred)

Work Location: Remote

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