JOB DESCRIPTION
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 Outbound 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.
The Company is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex. national origin, disability status, protected veteran status or any other characteristic protected by law."