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About the role
Key responsibilities & impact- Submits accurate and timely claims to third party payers.
- Resolves claim edits and account errors prior to claim submission.
- Adheres to appropriate procedures and timelines for follow-up with third party payers.
- Gathers statistics, completes reports and performs other duties as scheduled or requested.
- Organizes and executes daily tasks to achieve optimal productivity, accountability, and efficiency.
- Contacts third party payers to resolve unpaid claims.
- Utilizes payer portals and payer websites to verify claim status and conduct account follow-up.
- Assists Patient Access and Care Management with denials investigation and resolution.
- Researches and processes mail returns and claims rejected by the payer.
- Reconciles billing account transactions to ensure accurate account information.
- Maintains work queue volumes and productivity within established guidelines.
- Communicates problems hindering workflow to management in a timely manner.
Requirements
What you’ll need- High School diploma or equivalent
- One (1) year medical billing/medical office experience
- Excellent oral and written communication skills
- Knowledge of medical terminology preferred
- Knowledge of business math preferred
- Knowledge of ICD-10 and CPT coding processes preferred
Benefits
Comp & perks- Excellent customer service
- Professional development
- Confidentiality according to policy
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 billingICD-10 codingCPT codingbusiness mathclaims processingaccount reconciliationreport generationclaim status verificationdenials investigationpayer portal utilization
Soft Skills
communication skillsorganizational skillsproblem-solvingaccountabilityefficiencytimelinessproductivityattention to detailinterpersonal skillsadaptability