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Medical-Pathology Accounts Receivable Coordinator
CPGPathology Accounts Receivable Coordinator for Diligent Billing and Management LLC managing insurance claims and account balances. Responsible for resolving issues and maintaining standards in a hybrid work environment.
About the role
Key responsibilities & impact- Responsible for being the subject matter expert of specific payers staying up to date on their claims process and coding requirements
- Review and resolve outstanding or pending insurance claims and account balances directly with payer; frequent follow up with payers using telephone, fax, email, and specific payer websites
- Resolve claim rejections in Realmed/Availity
- Process insurance correspondence as assigned
- Research any credit balances and if appropriate, send to refund department for processing
- Update and track payer guidelines to educate company on any changes
- Assist Patient Services with any statement request, itemized bills or other research as needed
- Maintain company production and QA standards
- Perform other related duties as assigned
Requirements
What you’ll need- High school Diploma or equivalent
- 2+ years of experience in medical insurance coordination/collections, specifically in the area of Pathology
- Moderate understanding of the billing and collections processes, including the HCFA 1500 and UB4
- Strong knowledge of insurance payers (including Medicare/Medicaid) and interpretation of insurance explanation of benefits (EOBs)
- Strong knowledge of medical terminology, particularly pathology
- Proven knowledge of CPT4, ICD10 and HCPCS coding
- Strong hospital knowledge is a plus
- NextGen Practice Management experience is a plus
- Availity/Realmed or similar system experience is a plus
Benefits
Comp & perks- Medical Insurance
- Dental Insurance
- Vision Insurance
- Company Paid Life Insurance
- Company Paid Disability Insurance
- 401k Plan
- Generous PTO
- Employee Assistance
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical insurance coordinationcollectionsbilling processesHCFA 1500UB4CPT4 codingICD10 codingHCPCS codingmedical terminologyclaims processing
Soft Skills
communicationproblem-solvingattention to detailorganizational skillscustomer service
Certifications
High school diploma or equivalent