About The Position

Performs billing, collections, third party reimbursements, computer data entry and retrieval. Helps in posting charges to accounts.

Requirements

  • High School Diploma or equivalent required.
  • 0-1 years of relevant experience, required.

Responsibilities

  • Performs charge and payment entry; also ensures accurate completion of coding for all assigned physician specialties.
  • Aids review of physician's coding and identify possible conflicts in rules.
  • Notifies physician when discrepancies are identified for correction.
  • Coordinates incoming mail with open queue charges to maintain queue status.
  • Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses most appropriate methods to resolve them.
  • Creates detailed, well-versed typed letters to insurances and patients.
  • Creates effective appeal packages to submit to insurances.
  • Communicates in an effective professional manner when speaking with insurances and patients.
  • Maintains organized files of incoming and completed work.
  • Performs related duties as required.
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