Full Time
Premier Bone and Joint Centers
Remote (This position can be on -site or remote)
The Medical Billing Specialist plays a key role in optimizing reimbursement by sending clean claims to the insurance companies, working insurance claim denials efficiently and quickly the 1st time and having that in-depth knowledge of medical coding and billing guidelines.
Essential Duties & Responsibilities
Rejected EOB
· Follow-up on denials on the Practice Management Dashboard.
Appeals
· Determine when an appeal, reopening, redetermination, etc. should be requested and the requirement of each insurance carrier.
Appeals Completion
· Complete the appeals, reopening, redetermination, etc. in it’s entirety and send all required documentation to the insurance carrier.
Carrier Calls
· Call insurance carriers to appeal payments that do not match contractual agreement.
· Notify supervisor of consistent contractual agreement discrepancies.
Patient Inquiries
· Respond...