Compliance Analyst – Regulatory Change Management
Centene Corporation
Billing Specialist III
US Anesthesia Partners
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Maintain practice management system by entering accurate data, verifying and updating insurance and claims information, handling carrier correspondence, managing EOBs, and keying payments received into the system.
- Prepare, review, submit, and follow up with clean claims to various companies/individuals.
- Collect, post, and manage patient account payments.
- Investigate rejected claims to determine denials and correct claims.
- Send patient invoices, billing reminders, and make collection calls on outstanding balances as directed.
- Review and provide RCM weekly and monthly reports including productivity and financial reports and complete action steps as necessary.
- Follow HIPAA guidelines when accessing and sharing patient information and maintain patient and business confidentiality.
- Provide timely and professional customer service; verify discrepancies and resolve patient billing issues; answer questions from patients, facility staff, and third-party vendors.
- Support additional coding, billing, and practice management projects as needed.
- Perform all other duties as assigned.
Requirements
- Highschool graduate or equivalent.
- 5+ years of billing experience.
- Minimum three years of Healthcare experience preferred.
- Knowledge of revenue cycle processes, medical insurance, and general accounting principles.
- High degree of accuracy and attention to detail.
- Ability to manage multiple tasks/projects, and deadlines simultaneously.
- Ability to identify and resolve exceptions and to interpret data.
- Proficient in data entry.
- Excellent communication skills, both verbal and written.
- Proficient computer skills, including Microsoft Office applications.
- Must be able to complete all physical requirements of the job with or without a reasonable accommodation.
- Physical demands: Occasional Standing; Occasional Walking; Frequent Sitting; Frequent hand, finger movement; Use office equipment (in office or remote); Communicate verbally and in writing.
