Full-time Medical Billing/Accounts Receivable Specialist needed for an outpatient surgery center. This position centers on the expedient resolution of both insurance and patient claims. This includes, but is not limited to, revenue collection, denials, and appeal filing. Communicating with insurance carriers, providers, patients, and management to achieve resolution of issues and claims payment is vital, therefore candidate must possess above average verbal and written skills.
Responsibilities include, but are not limited to:
-Claim submission and remittance reconciliation for Medicare, Medicaid, liability, commercial health insurance, and workman's comp.
-Review of payer correspondence (EOB'S) to determine next actions for resolution of claims.
-Continued monitoring and review of open accounts to identify adjustments, refunds, and changes in allowable amounts.
-Establish patient payment plans.
-Submission of complete and detailed appeals, including all necessary follow up.
-Obtain insurance verification
-Identify insurance company trends, both positive and negative, and communicate trends to providers and board of directors.
-Review of aging reports, including monitoring delays in payments, past due statuses, and projected AR forecasts.
-Maintain patient and company confidentiality.
-Maintain clear and cohesive notes/documentation related to all open claims.
-Demonstrated understanding of medical terminology, CPT and ICD-10 coding and billing forms (HCFA).
Requirements:
-Excellent communication skills, both written and verbal
-Excellent organizational skills
-1+ year of medical billing experience performing full cycle medical billing
This position will also have responsibility to cover other business duties.
Pay is commensurate with ability and experience. Available benefits include PTO, retirement plan, health insurance, and life insurance. Optional benefits include dental, vision, and disability insurance, health care flexible spending accounts, and dependent care flexible spending accounts.
Job Type: Full-time
Pay: $18.00 - $22.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work setting:
- Ambulatory surgery center
Experience:
- ICD-10: 1 year (Preferred)
Work Location: In person