2+ years billing experience in an outpatient medical office
2+ years of Insurance Verification and Prior Authorization experience is a must
2+ years of experience working with accounts receivable
Experience posting payments
A/R experience
Good tenure
Duties
Post payments
Answer Patient Questions About Outstanding Balances
Follow up on outstanding payers' A/R (Accounts Receivable) based on A/R report in accordance with timely filing limits
Contact insurance companies by phone, email, fax, and written correspondence to resolve issues preventing claims from being processed correctly, including verifying benefits and eligibility dates
Working various denials from insurances including coverage in question, medical necessity, bundling, non-covered procedures, incorrect coding, credentialing, etc.
Communicate with coding staff to verify claims have been coded correctly and appeal claims that have been paid incorrectly.
Follow up on accounts when no response from the insurance carriers has been received
Gather information regarding other pending claims on account and check status of claims utilizing the websites for various insurance companies
Research, identify, and rectify any special circumstances or denial trends affecting resolution of patient account and provide the finds to the practice manager
Identify and create batches for necessary billing adjustments
Participate in monthly billing meetings
Review statements and communicate the specific manner in which the claim processed with patients
Perform other duties as directed by manager
Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability.
Seniority level
Entry level
Employment type
Contract
Job function
Health Care Provider
Industries
Staffing and Recruiting
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