Salary
💰 $24 - $32 per hour
About the role
- Responsible for follow-up work to collect on all open and unpaid accounts with insurance companies and third parties
- Inquiring about unpaid claims
- Appealing denied claims with insurance companies
- Contacting patients or account guarantor
- Researching root issue of denial
- Applying knowledge of payer policies to pursue proper course of appeal or follow up to obtain payment
- Reviewing account history for continuous follow up
- Addressing incoming correspondence and respond timely to ensure prompt resolution
- Preparing correspondence to insurance companies, patient and/or guarantor, as necessary
- Documenting clearly in billing system the claim issue and course of action taken on every account worked
- Performing charge corrections based on payer and institutional policies
- Performing demographic and insurance coverage updates on account as appropriate and bill new insurance as appropriate
- Performing other job duties as assigned and required
Requirements
- High school graduate or GED certificate is required
- Minimum of 1 years experience in a physician billing or third party payor environment
- Strong customer service and patient focused orientation
- Ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process
- Experience in Epic/electronic billing systems preferred
- Knowledge of medical terminology, diagnosis and procedure coding preferred
- Previous experience in an academic healthcare setting preferred
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
billingclaims processingappeals managementcharge correctionsdemographic updatesinsurance coverage updatesmedical terminologydiagnosis codingprocedure codingpayer policies
Soft skills
customer servicepatient focuscommunicationproblem-solvingattention to detailtimelinessresearch skillsorganizational skillsinterpersonal skillsresponsiveness
Certifications
high school diplomaGED certificate