Utilizes knowledge of insurance regulations, health insurance contracts, medical coding, and bookkeeping to perform revenue cycle support activities.
Maintains the practice management system by entering accurate data, verifying and updating insurance and claim information, handling carrier correspondence, managing EOBs, and keying payments received into the system.
Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
Collects, posts, and manages patient account payments.
Investigates rejected claims to understand issuance of denials and corrects the claim.
Facilitates swift payment of invoices due to the organization by sending patient invoices, billing reminders, and making collection calls on outstanding balances as instructed.
Reviews and provides RCM weekly and monthly reports, including productivity and financial reports as directed, and completes action steps as necessary.
Follows HIPAA guidelines when accessing and sharing patient information, ensuring patient and business confidentiality.
Provides timely and professional customer service, verifies discrepancies, resolves patient billing issues, and answers questions from patients, facility staff, and third-party vendors.
Supports additional coding, billing, and practice management projects as needed.
All other duties as assigned.

Requirements

Highschool graduate or equivalent.
Minimum 1 year of billing experience preferred.
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, identify and resolve exceptions, and interpret data.
Must be proficient in data entry.
Excellent communication skills, both verbal and written.
Proficient computer skills, including Microsoft Office applications.

Benefits

This position is eligible for a quarterly bonus.
Bonuses are not guaranteed and are awarded based on company and individual performance.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

medical codingbookkeepingdata entryrevenue cycle processesbillingclaims managementfinancial reportingaccounting principlesinsurance regulationsEOB management

Soft Skills

attention to detailcommunication skillscustomer serviceproblem-solvingtime managementorganizational skillsmultitaskingdata interpretationprofessionalismconfidentiality