Job Title
Pay Range $21hr - $22.50hr
Requirement/Must Have
- High school diploma.
- 3+ years of related work experience.
- Experience with medical billing and coding.
- Ability to prioritize handling of issues.
- Organization skills and ability to multitask.
- Effective communication skills (verbal, written, listening, presentation).
Responsibilities
- Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
- Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
- Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
- Determine if denied claims can be corrected and re-submitted to the carrier.
- Review aging reports to research open balances and resubmit within insurance carrier filing limits.
- Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
- Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
- Initiate overpayment refunds to patients and repayments to insurance carriers when required.
- Serve as the point of contact for the practice regarding all vision and medical claims.
- Support the corporate manager in maximizing claim collection rate.
Nice to Have
- Experience working in multiple doctor practices.
- Experience working with multiple insurance carriers and an understanding of their claim requirements.
- Proven ability to identify issues and solve problems.
Skills
- Medical billing.
- Cash application and collection.