20 Jul
Plessen Ophthalmology - Medical Billing Liason (St. Croix)
Territories, U.S. virgin islands

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Our Ideal Candidate Will Possess:
•Understanding of compliance and payer requirements including Medicare and Medicaid
•Analytical and research skills
•Prior experience with Medical collections
•Demonstrated ability to organize and prioritize work
•Knowledge and experience in customer service
•Excellent written and verbal communication skills
Position Responsibilities Include:
•Performing in depth review of accounts to determine payer coverage requirements
•Contacting patients and insurances to obtain payments
•Submit appeals and reconsiderations
•Negotiate settlements and payment plans
•Escalate problem accounts to obtain payments
•Review all assigned accounts to determine priorities
JOB SUMMARY
• Perform in-depth transport reviews to verify all required fields are present for billing to include demographic information, mileage and facility information and clinical support of the bill.
• Maintain a professional relationship with all facilities and first responders in order to obtain demographic information for billing.
• Understand all payer requirements for prior-authorization, claim form completion and coordination of benefits.
• Perform verification of insurances to include gathering benefit and all plan information.
• Act as a patient advocate when discussing all options for outstanding balance resolution.
• Organize and prioritize work to support production goals to include utilizing on-line tools and required systems and software.
• Other responsibilities as assigned.
QUALIFICATIONS/EXPERIENCE
• High school diploma or GED equivalent.
• Have 1 to 3 years of previous experience in medical billing/collections in a medical office, clinical site, or billing/collections office.
• Knowledge of general office procedures and using office equipment.
• Have PC skills and knowledge of Microsoft Office Word and Excel.
• Must have prior experience with email and using the web.


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