• Ensure the confidentiality of patients’ personal information
• Posts payments from paper remittance advices, checks and electronic remittances (ERAs).
• Work Retraction or Zero pay reports to properly allocate monies
• Performs electronic transmission of claims daily and review/corrects all edits/rejects.
• Generates and works reports specific to pending claims, denials and aging Medicare, Medicaid, Commercial, and Self-pay A/R to reach targeted monthly goals.
• Identifies to supervisor any problems associated with providers that are not signing and closing progress notes timely.
• Audits patient accounts for accuracy and opportunities to maximize reimbursement.
• Corrects coding and/or incorrect insurance information in Eclinical billing system
• Documents Billing Alerts in Eclinical to obtain corrected patient information by Business Staff.
• Processes turn-around documents and other tasks necessary to receive timely payment on claims.
• Performs write-offs per company financial policies and brings any account problems to the attention of the supervisor.
• Ensures that credit balances are worked per financial policy.
• Posts payments timely and accurately and requests refunds on payments that result in credit balances.
• Provides feedback to supervisor on accounts that should have monies collected at time of service or referred to Billing Department to establish a payment plan.
• Requests medical review of denied claims that should have been paid to company and corrects/re-files denials when applicable.
• Works A/R on weekly basis to prevent denials based on rules for failure of timely filing.
• Transmits Medicare/Medicaid Crossovers.
• Transmits Secondary claims to Medicaid and Commercial carriers.
• Works Co-payment Detail Report and Co-payment Weekly Report.
• Reviews/works monthly billing report prior to the release of monthly patient billing statements.
• Establishes rapport with insurance companies to facilitate payment on denied claims.
• Stays abreast of third-party reimbursement requirements and current coding guidelines.
• Assists patients and other staff with billing and insurance questions.
• Processes delinquent accounts to supervisor so that account will be cycled into collection letters.
• Follows all necessary HIPAA regulations to protect patient privacy.
• Understands the importance of working collaboratively with the front office to ensure that correct demographic, insurance and patient information is accurately entered into Eclinical
• *** Pay based on experience***

Job Type: Full-time

Pay: From $15.00 per hour

Benefits:

• Employee discount
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
Mask required

Experience:

• ICD-10: 1 year (Preferred)

Work Location: In person

• Employee discount
• Paid time off