Accounts Research Specialist - TMG Billing (Days)

Responsibilities

• Day-to-day follow-up of Medicare, Medicare Advantage plans, Medicaid, CMOs, and commercial insurance claims.
• Review aging reports to identify and resolve problem areas.
• Work all rejections and denials accurately and efficiently.
• Prioritize workload, formulate action plans, and analyze results.
• Communicate trends and billing/coding issues to management.

Requirements

• High School Diploma or GED.
• Two years of related experience.
• Working knowledge of specialized practices, equipment, and procedures.

Qualifications

• Ability to meticulously organize, analyze, and prioritize workload with integrity.
• Strong communication skills to report issues to CBO management and propose resolutions.
• Ability to work professionally and collaboratively in a team environment.
• Exceptional verbal and written communication skills.
• Minimum of two years of experience in insurance and patient billing, accounts receivable (AR), including credits, refunds, offsets, and posting payments.
• Understanding of AR analysis to resolve claim denials promptly and maintain AR days and greater than 90-day AR categories below MGMA standards.
• Working knowledge of CPT & ICD coding and medical terminology.