JOB DESCRIPTION:
Skillset:
- Knowledge of EMR/Practice Management software.
- Ability to maintain strict confidentiality and adhere to all HIPAA guidelines/regulations.
- Knowledge of basic medical coding a plus- CPT & ICD-10.
- Ability to work independently.
- Ability to focus and not easily distracted.
- Ability to establish and maintain effective working relationship with patients and employees.
- Ability to manage multiple projects simultaneously.
Essential Functions:
- Prepare and submit clean claims to various insurance companies electronically
- Responsible for ensuring proper collection procedures are followed on all patient accounts.
- Prepare, review, and mail patient statements.
- Correct clearinghouse rejections and resubmit claims.
- Check Gateway EDI clearinghouse weekly to confirm all claims have been received by carriers.
- Conform to all applicable HIPAA billing compliance & safety guidelines.
- Submit secondary claims
- Review and appeal denied claims
- Confirm patient benefits for surgeries and patch testing
- Process and post insurance and patients payments daily and prepare a daily deposit.
- Post zero EOB’s and assist with other posting.
- Generate monthly A/R reports for all accounts 30 days past due and over for all pay classes.
- Working A/R (patient and insurance) reports efficiently to maintain designated monthly percentage goals.
- Review accounts and prepares accounts for the collection agency.
- Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to the third party payers.
- Monitor the results of previous collection attempt letters and ensures continuity with stronger letters if no activity has resulted.
- Evaluate patient’s financial status and establish monthly payment plans as per protocol. Maintain daily log of patients on payment plans; follow and reports status of delinquent accounts.
- Refund request: Calling insurance companies regarding request if required. Also, submit a refund request on credit balances.
- Professionally answer questions from patients, clerical staff, and insurance companies.
Job Type: Full-time
Pay: From $19.50 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Hybrid remote in Hendersonville, TN 37075
