General Summary: A non-exempt position responsible for the proper and timely processing of claims and payments to providers.
Essential Job Responsibilities:
1. Weekly review of claim edits reports and corrects the claim information such as (CPTs, valid ICD-10's, referring doctor name/UPIN #, modifiers, etc.).
2. Work and corrects claim rejections from Waystar, correcting necessary data.
3. Daily follow-up of aged accounts and denied charges.
4. Keep A/R Supervisor informed on all Payer problems.
5. Contacting insurance carriers via phone or website.
6. Handle patient and provider calls in reference to claims or statements.
7. Answer and forward incoming calls in a timely manner.
8. Identifies and resolves patient billing complaints.
9. Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third party payers.
10. Identify and correct posting errors and overpayments.
11. Review and correct COB errors.
12. Other duties and projects as assigned.
13. Occasional overtime may be required.
Education: High school diploma or equivalent.
Experience: Minimum two years of experience working insurance AR follow up and claims processing in a health care setting; including denials and appeals.
Job Type: Full-time
Pay: $21.00 - $23.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Work Location: In person
