MAJOR DUTIES & RESPONSIBILITIES
Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearinghouse.
Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
Download insurance carrier evidence of benefits (EOBs) to post claim payments and denials in the EHR system.
Determine if denied claims can be adjusted and re-submitted to the carrier.
Review aging reports to research open balances and resubmit within insurance carrier filing limits.
Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
Partner with the clearinghouse to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
Initiate overpayment refunds to patients and repayments to insurance carriers when required.
Write off open claim balances in the EHR system.
Serve as the point of contact for the practice regarding all medical claims.
Support the corporate manager in maximizing claim collection rate.
BASIC QUALIFICATIONS
High school diploma.
3+ years of related work experience.
Experience with medical vision claims and coding.
Ability to prioritize handling of issues.
Organizational skills and ability to multitask.
Effective communication skills (verbal, written, listening, and presentation).
Pay: $22.55 per hour
Work Location: In person
