BizForce

Accounts Receivable

• Prepare, review, and submit claims to insurance payers (commercial and government)
• Work with Optum/Change Healthcare Billing System to ensure accurate billing processes
• Utilize Cerner for patient account management and charge entry
• Review claims for accuracy and compliance before submission
• Research and resolve payer rejections, denials, and underpayments
• Follow up on outstanding AR balances to ensure timely collections
• Maintain current knowledge of payer requirements, regulations, and billing guidelines
• Collaborate with hospital staff and other departments for claim resolutions
• Ensure accurate claim submission, timely reimbursements, and reduction of denials to keep the revenue cycle flowing smoothly

Medical Biller / Accounts Receivable Specialist

Call Center Representative

• Ensure smooth health center operations by providing excellent customer service and managing patient calls
• Answer incoming patient telephone calls promptly and route to appropriate departments
• Schedule patient appointments accurately following established procedures
• Manage provider and scheduling resources to ensure full and efficient schedules
• Document and route clear and concise messages for providers and staff in the EMR system
• Maintain strict patient confidentiality in compliance with HIPAA and organizational protocols
• Collect, verify, and manage health insurance and demographic information
• Conduct appointment reminder and confirmation calls
• Provide general information to callers with professionalism, empathy, and courtesy
• Participate in required meetings, trainings, and in-service education
• Perform other related duties as assigned

Medical Biller / Accounts Receivable Specialist

Healthcare Call Center Scheduler, Bilingual – Spanish