Billing Specialist

• Ensure the billing process is completed accurately, timely, and efficiently.
• Daily processing of claims and reviewing remittance advice forms.
• Answer billing questions from internal and external customers.
• Document communication in EMR system.
• Run billing reports and file disputes as necessary.
• Upload and log electronic remits from various insurance companies.
• Follow-up with insurance companies and payment guarantors.
• Monitor collection/aging worksheets and manage accounts.
• Participate in weekly billing team meetings and report payer trends.
• Attend community involvement events and perform additional projects as assigned.

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Contact third party payers to verify eligibility, obtain claim status and take steps to properly resolve CMS 1500/837P claims
• Utilize various internal and online follow up tools provided by Westerkamp Group, LLC and our clients to resolve accounts
• Critically analyze account balances, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), denial reason codes (CARC), and remittance advice remark codes (RARC) on CMS-1500 /837P claim forms to determine the root cause of denials
• Maintain workqueues and track trends that can be escalated to management
• Clearly notate accounts per Westerkamp Group or client specific standards
• Review paper correspondence and take necessary action to resolve insurance payer requests
• Analyze and submit cash posting payment and contractual adjustment errors
• Adhere to strict compliance guidelines related to HIPAA

Billing Specialist jobs in Kentucky

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Billing Specialist

PFS Representative, CBO Billing, Follow-up, Denials Management

Billing Insurance Follow Up Analyst