Aprima

A healthcare service provider is seeking a detail-oriented individual for managing billing claims, requiring strong organizational and communication skills. Responsibilities include contacting insurance companies, processing appeals, and maintaining confidentiality in line with HIPAA compliance. Candidates should possess a high school diploma and ideally have two years of relevant experience in physician billing. Knowledge of the Aprima EPM practice management system is preferred, and a proactive attitude towards problem-solving is essential. #J-18808-Ljbffr

Overview Maintenance of account which includes AR follow up, payment posting & balancing, filing claims & managing rejections, as well as generating statements and receiving inbound patient calls. Responsibilities Contact insurance companies regarding claims. Process and follow up on appeals to insurance companies. Filing of all claims. Post and balance payments, if applicable. Maintain productivity standards and goals set by the department and/or manager. Maintain standard quality measures and goals. Proactively resolve any cash restraining issues by seeking out and identifying trends in each facility’s AR. Follows up on non-responded and denied insurance claims for all third-party carriers (Self-Pay, Private, HMO/PPO and Gov’t payers). Processes insurance/patient correspondence with insurance carriers to resolve adjudication issues. Resolve any issues affecting reimbursement and/or adjudication in a timely manner. Available to patients and clinical departments...