Job Description

Job Responsibilities:

• Identifies delinquent patient accounts and resolves within 90 days; works to follow up on accounts until a payment plan is set up, the account is zero balance, or turned over for collection.
• Resolve outstanding insurance claims within 90 days: contact insurance companies and patients, appeal underpaid, denied, or overpaid claims.
• Backup for coding. Research all information necessary to complete procedure and diagnosis (CPT, ASA, and ICD 10) coding process for all services rendered including obtaining necessary information from physicians/facilities.
• Submit electronic claims as assigned. Mail insurance paper claims daily.
• Respond to written correspondence and phone inquiries from patients and insurance companies.
• Process insurance and patient refunds within 10 business days.
• Review and follow-up on lockbox items. Delete files once complete.
• Maintains strict confidentiality of all patients and practice information.

Qualifications:

• Prior experience in medical billing is required; experience with physician billing is a plus.
• Knowledge of health claims and experience with computerized medical billing systems in a healthcare environment is essential.
• Familiarity with ICD and CPT coding.
• Proficient in Microsoft Office Suite (Excel, Word, etc.) with strong attention to detail.
• Strong ability to ensure billing processes comply with regulations and guidelines while maintaining high levels of accuracy.

Hours & Benefits:

• Monday to Friday, 8:00 AM – 4:30 PM
• 100% In-office position
• Paid Time Off (PTO)
• Health, Dental, and Vision Insurance
• 401(k) Retirement Plan

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