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