*** NOT A REMOTE POSITION***

Job description:

Follow up on insurance claim status, resolve denials & rejections, submit corrected claims, and file appeals.

Collect on Medicare, Worker’s Compensation, and commercial insurance outstanding balances.

Update patient accounts with registration, insurance, demographic, and billing data.

Review EOBs and resolve billing issues of appealing unpaid and denied insurance claims.

Document all pertinent communication with patients, providers, and insurance companies as it may relate to reimbursement procedures.

Perform and document actions that will lead to payment in a clear, concise and actionable follow-up notes in system for each account worked.

Contact insurance carriers by phone and/or payer websites to ensure payment is received, through customer collection activities, including but, not limited to, claim status updates, resubmission of claims, underpayment requests, submitting appeals, etc.

Requirements:

Utilize Microsoft Office Word/Excel/Outlook, medical software, EHR/EMR, payer portals, and type 40+WPM.

Working knowledge of billing practices, cpt codes, and ICD10s.

Proficiency with electronic medical records (EMR) and practice management software.

Ability to organize, multi-task, and meet deadlines.

Ability to work independently and collaboratively within a team environment.

Ability to work with staff and clients in a professional and courteous manner.

Knowledge of Health Insurance Portability and Accountability Act (HIPAA) requirements.

Must have experience and comfort level in making calls to payors.

Negotiation skills and experience.

Successful in an environment with daily productivity goals.

Experience using Claimmd, GoRev and Criterions preferred.