Rep, Billing Jobs

Overview:

In an environment where the patient is at the center of everything that we do, the individuals in this position typically reconcile medical claims for the purpose of collecting revenue for the organization. They work with patient, client and/or third-party insurance bills, and may work on one or more of these processes on a daily basis.

Responsibilities:

• May be a certified Medical Coder and/or involved with medical coding.
• Apply payments and denials to third party carriers in all media types.
• Complete refunds/adjustments to customer's accounts, while providing necessary back-up information in order to maintain accuracy.
• Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues.
• Regular research involving both the web and billing systems.
• Interpret Explanation of Benefits for appropriate follow-up action.
• Handle patient indigency and bankruptcy claims.
• Maintain Compliance and HIPAA standards at all times Meet or exceed daily production standards Meet or exceed daily quality standards.
• Make have contact with insurance carriers, clients, patients and/or other outside sources.
• Focused efforts on increasing cash and reducing bad debt.
• Ability to work on various other projects as needed.
• Perform screen scrapes.
• Contact third party carriers to follow up on denied and unresponded claims.
• Analyze and apply denials, process and review claims.

Qualifications: QUALIFICATIONS

Required Work Experience:

• At least one year of relevant experience

Preferred Work Experience:

• 1-3 years of experience in A/R, Billing, Customer Service, insurance, or healthcare preferred.

Physical and Mental Requirements:

• N/A

Knowledge:

• N/A

Skills:

• Good organizational skills.
• Ability to work overtime as needed, based on departmental needs.
• PC Skills, with specific proficiency in Excel and data entry
• Excellent communication skills to effectively converse with internal and external candidates; ability to negotiate payment plans.
• Basic Math skills
• Ability to work independently and as part of a team.

EDUCATION
High School Diploma or Equivalent(Required)
Some College Courses
LICENSECERTIFICATIONS