- Professional
- Oficina en Decatur
Primary Responsibilities/Requirements:
- Answer billing calls from patients and assist with account resolution
- Reviews patient bills for accuracy and completeness and obtains any missing information.
- Verifies correct coding/charge entry to ensure prompt payment.
- Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
- Follows up on unpaid claims within standard billing cycle timeframe.
- Checks each payment for accuracy and compliance.
- Calls insurance companies regarding any discrepancy in payment, if necessary.
- Identifies and bills secondary or tertiary insurances.
- Follows up with the referral source to obtain necessary paperwork as required by Insurance.
- Works with Medicaid, Medicare, and various commercial insurers for billing and collection purposes.
- Ability to master the EMR/PM systems.
- Ability to utilize software applications to process claims, research statements, and research accounts.
- Process claims, referrals, crossovers, and authorizations
- Responsible for filing appeals and following them through the process of payment
- Work AR work list as assigned
- Print records requested for proper claims processing
- Assist in DME Fittings when needed
Must Also Posses:
- Ability to communicate well with patients, physicians, and staff
- Self-motivated and ability to work independently
- Positive “teamwork” attitude
- Assist with other duties as assigned
Education and Experience:
- Two years of experience in clerical/office support work and/or education at the high school level
- Minimum of two years billing experience - preferred
- Minimum: DME experience required, two years AR experience required
- Knowledge of Insurance guidelines and other payment requirements
- Knowledge of ICD 10 Codes
- Knowledge of HCPCS Codes
- Knowledge of LCD’s
