Medical Biller / Accounts Receivable Specialist

Job Summary

Responsible for collection of all insurance and private pay payments from start of service to discharge/termination.

Essential Duties and Responsibilities

• Review and resubmit denied claims by calling insurance companies to have claims reprocessed.
• Review, reconcile and follow up on claims which are incorrectly paid.
• Contact insurance companies with major issues to ensure accuracy of billing for maximum payment.
• Prepare insurance letters of appeals as necessary, attaching medical documentation, referrals, prior authorizations, etc.
• Documents notes in patient's accounts.
• Identify refunds, provides supporting documentation, completes refund forms and submits to supervisor.
• Communicate effectively via phone & in person with carriers, patients, staff and management.
• Coverage for billing department during vacancies.
• Collection of Patient Balances.
• Other duties as assigned by manager.

Education and/or Work Experience Requirements

• Two to five years of experience working in health care billing.
• Knowledge of Insurance rules, regulations and compliance guidelines.
• Ability to interpret CPT/HCPC/ICD-10 books.

Qualifications and Other Requirements

• Medical Insurance Experience Required
• Experience handling a heavy claim volume
• Excellent interpersonal skills
• Ability to multitask and respond quickly to concerns
• Quick learner
• Strong knowledge of MS Office, Outlook and Excel
• Ability to work overtime when needed

Physical Requirements

• Occasionally ascends/descends stairs going to, while at, or leaving work location or facilities
• Occasionally moving and/or lifting objects at work weighing up to 10 pounds.
• Must be able to remain in a stationary position for prolonged periods of time up to 90% of the workday working on a computer/electronic device.
• The ability to observe details at close range (within a few feet of the observer).
• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.

Benefits Include

• Comprehensive medical, dental, and vision coverage, and 401 (k) with employer match
• Short- and long-term disability coverage, as well as life, flex spending, and commuter benefits
• Paid time off, sick time, and holiday pay
• Variety of Employee Discounts on Entertainment and Equipment
• Structural initial training
• Monthly administrative events and so much more!

Compensation

Full time hourly $25-30. Hours: Monday-Friday 9:00am-5:30pm and overtime as needed.