Medical Billing Representative $25/hour

Pay: $22-25/hour

Schedule: Monday through Friday 8:30AM – 5:00PM

Requirements:

• Minimum 3-4 years of Medical Accounts Receivable experience
• EMR experience (practice uses eClinicalWorks, NaviNet, Helio – training provided)
• Knowledge of healthcare insurance billing required
• Knowledge of medical terminology required
• High school diploma or equivalent

Responsibilities:

• Analyze assigned past due accounts and coordinate between third-party payers and internal parties to resolve payment discrepancies and delated payments
• Minimize financial risk to the practice and take appropriate action to record overdue payments and litigated claims to ensure timely and efficient resolution
• Analyze and update all assigned AR accounts to ensure a timely and appropriate solution and closure in accordance with payers’ policy guidelines
• Cross train on all aspects of the back office including posting, Accounts Receivable (AR), insurance and patient collection, denial appeals, charge modifications, adjustments, Medicare accounts
• Phone must be turned on daily and ready to receive all calls related to patient bills, whether from patients or insurance companies
• Check NaviNet or payors website for payment statuses and set a follow-up on open balance accounts constantly
• Provide a monthly update on all litigation accounts and closure
• Answer billing questions in a clear and polite manner, pull business charts and computer files as necessary to answer questions
• Handle patient, co-worker, and physician’s billing questions and inquires and forwards all complex questions to direct manager
• Answer correspondence from insurance companies and physicians regarding outstanding balance and write off request
• Perform 30-, 60-, and 90-day reviews and document all outstanding accounts relating to assigned payor or group
• Document current status of accounts and strategies to bring claim to closure
• Compile claims data and update logs, tracking & trending reports, and communicate denial trends with urgency
• Reconcile detailed AR accounts, review and process account adjustments and overpayment refunds in an efficient and timely manner
• Participate in all billing and collection related meetings to discuss new and ongoing account resolution

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