Medical Hospital Billing and AR Specialist
Trajectory Revenue Cycle Services
Accounts Receivable Specialist
Urology of Indiana LLC
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Update and add payer plan information and subscriber/patient ID in practice management system prior to appointments
- Run and work Eligibility queue report daily for assigned locations
- Run patient aging report monthly and identify/add/update missing or incorrect insurance
- Correct invalid payer plans on claims, change status/owner and rebill claims
- Apply patient alerts for new insurance cards and expire alerts after 7 days
- If inpatient/outpatient hospital appointment, notify surgery scheduler or precert team of insurance changes
- Contact patients by phone when eligibility cannot be confirmed and send insurance info letters if no response
- Verify or add new Medicare MBI numbers
- Handle inbound insurance calls from locations and patients
- Back up charge entry and payment posting; handle mail distribution, faxes, scanning, and E-doc process
- Provide benefits estimates for patients' procedures
- Perform other duties as assigned
Requirements
- Knowledge of medical terminology
- Understanding how to interpret commercial payer, Medicaid and Medicare benefits and eligibility information
- Good organization and strong follow through skills
- Ability to respond to questions in a tactful and professional manner
- Detail-oriented and able to maintain confidentiality
- Knowledge of insurance regulations and procedures
- Experience with CPT-4 and ICD-10 preferred
- Ability to read and interpret documents and write routine correspondence
- Ability to calculate basic figures and apply basic algebra concepts
- Problem-solving ability with limited standardization
- Basic computer software skills
- Strong written and oral communication skills
- Positive, cooperative and professional attitude
