Job Description
Summary of Responsibilities: Responsible for accurate and timely follow-up of outstanding claims, responding to inquiries and correspondence for assigned accounts in accordance with established procedures. Ensure that all external customers (patients/visitors/guests) receive personalized prompt attention. Strives to address external and internal customer needs and concerns. Handles telephone inquiries, resolving customer questions.
Essential Duties and Responsibilities:
· Physician Billing experience.
· Knowledge of Medicare/Medicaid Governmental Benefits & Regulations.
· Strong knowledge of Medical Insurance Coverages.
· Submit Primary/Secondary Insurance and follow-up on same.
· Verifying accuracy of patient insurance and demographic information.
· Perform follow up on all outstanding accounts assigned in accordance with established policies and procedures.
· Place Out Bound Calls to Insurance for Status of Outstanding Claims.
· Analyze Remittance/Explanation of Benefits.
· Submit Appeals for Denials and/or Underpayments.
· Determine Patient Responsibility.
· Verify Insurance Coverage, Contact Guarantor Regarding Insurance Discrepancies.
· Strong communication, documentation, follow up, analytical and computer skill sets.
· Familiarity with the Epic System, preferred. Ability to accurately update patient accounts, update insurance information, initiate insurance billing.
· Performs other job related duties, as required and assigned.
Qualifications:
· High School Diploma or General Education Degree (GED).
· 1--2 Years prior Physician Billing experience, including carrier follow up.
· Knowledge of EPIC, preferred.
· Knowledge of HIPAA.
· Excellent written and oral communication skills.
· Computer literate.
· Ability to prioritize and multi-task with strong organizational and analytical skills.
· Ability to work independently on assigned tasks and accept direction.
Participation in all educational activities, seminars and webinars.
Job Type: Full-time
Benefits:
Schedule: