About the position
Responsibilities
• Resolve insurance claim rejections/denials and non-payment of claims by payors.
• Identify trends in billing and follow-up to expedite resolution of insurance accounts.
• Draft appeals to insurance companies for reimbursement of owed monies.
• Maintain daily account follow-up work lists while meeting productivity standards.
• Ensure compliance with payer contracts and policies for claims processing.
• Identify, research, and resolve credit balances, missing payments, payer recoupments, and unposted cash.
• Process and maintain correspondence from patients and insurance companies regarding billing and payment.
• Submit issues to coding for review to ensure compliance with organizational processes.
• Communicate effectively with insurance companies, patients, co-workers, and supervisors.
• Perform other duties as assigned.
Requirements
• High School Diploma or equivalent required; Associate Degree preferred.
• Minimum of 2 years of experience in a billing or insurance account follow-up capacity required.
• Formal training or college coursework from a medical coding accredited school may be considered in lieu of experience.
• Experience with medical terminology required.
• Knowledge of insurance processes and billing guidelines regulations required.
• Proficient use of computers including Microsoft Office applications required.
• Skilled in 10-key by touch and keyboarding required.
• Excellent verbal and written communication skills required.
• Strong organizational skills with the ability to prioritize and meet deadlines required.
• Ability to work independently and collaboratively in a team setting required.
Nice-to-haves
• Coding knowledge preferred.
• Epic experience preferred.
• Medical Billing Certificate preferred.
• Certified Revenue Cycle Representative preferred.
• HealthStream Badge preferred.
Benefits
• 403(b) retirement plan
• 403(b) matching contributions
• Continuing education credits
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
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