Patient Accounts Billing Representative (Remote)
About the position
Responsibilities
• Submit all claims in a timely and accurate manner according to department and payer processes.
• Analyze and review outstanding accounts receivables.
• Prepare appeals and corrected claims for resubmission to maximize reimbursement.
• Review patient eligibility to determine the correct payer for specific dates of service.
• Prepare claim data to produce a 'clean' claim according to department and payer regulations.
• Transmit claims timely to payers and work on EDI rejections.
• Post charges, payments, and denials accurately in the practice management system.
• Work on denials, prepare appeals, and resubmit claims to resolve open accounts receivable.
• Report unusual trends to the supervisor.
• Utilize insurance and practice management online systems for eligibility, claim status, and claim correction.
• Process insurance and patient refunds as necessary.
• Answer patient and department calls and assist with inquiries regarding patient statements.
• Establish payment arrangements when appropriate.
• Reconcile batch totals at day end to ensure accuracy of posted totals and transactions.
• Identify and correct discrepancies prior to opening future batches.
Requirements
• 1-2 years of medical billing experience or a medical billing certification.
• Knowledge of CPT and ICD10 coding and compliance preferred.
• Familiarity with medical terminology.
• Combination of education and equivalent experience will be considered.
Benefits
• Tuition reimbursement
• Comprehensive benefit package
• Growth opportunities
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