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Position is responsible for reviewing assigned denials to ensure claims are being processed correctly and efficiently.
QUALIFICATIONS / EXPERIENCE:
- High school diploma or equivalent required.
- Two-years previous medical billing experience preferred with emphasis on research and claim denials in Accounts Receivable preferred.
- Knowledge of healthcare reimbursement guidelines, ICD-10 and CPT-4 coding, appeals process and physician billing preferred.
- Proficient in Microsoft Office.
- Must possess excellent oral and written communication skills.
- Must be well-organized and possess ability to follow-up on claims.
- Must be self-motivated.
SUPERVISORY RESPONSIBILITIES:
PHYSICAL / ENVIRONMENTAL DEMANDS:
- Job performed in a well-lighted, modern office setting
- Occasional standing/bending
- Occasional lifting/carrying (20lbs or less)
- Moderate stress
- Prolonged sitting
- Prolonged work on a PC/computer
- Prolonged telephone work
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions.
Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
This job will be performed in a well-lighted and well-vented environment.
Work is oriented around good visual skills.
Eye fatigue may be encountered as extended amount of time is spent in front of computer
