Responsibilities : Identify and work to resolve outstanding accounts receivable balances in atimely manner by contacting various insurance companies and responsibleparties. Review insurance denials and correct claims accordingly. Bill outclaims to insurance companies and conduct necessary follow up. Run andreview aged receivable reports for various insurance companies and self-payaccounts, follow up on outstanding claims, answer inquiries regarding patientstatements, assist the other billing specialists, identify and report billingissues/concerns within the software product. Additional responsibilitiesas assigned by the department manager.
WORK SCHEDULE : 37.5hours/week, M-F 8:30-4:30, with hour unpaid lunch (flexible)
QUALIFICATIONS :
A. Education/Training/License/Certification :
An Associate Degree is preferred in related field, and at least one year ofrelated experience and/ or training; or equivalent combination or education andexperience; Certified Professional Biller (CPB) designation preferred but not required.
B. Knowledge, Skills and Abilities : Solid knowledge of billing requirements for Medical Assistance, Managed Care, and commercial insurers, billing processes and procedures, electronic billing systems, excellent communication skills, both verbal and written, medical/behavioral health collection experience. CPT-4 and ICD-10 knowledge is necessary along with an understanding of revenue codes/837i form.
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