Knowledge of insurance guidelines for different states including Medicare, state Medicaid and workers comp.
Reading and interpreting insurance explanation of benefits.
Check insurance payments for accuracy and compliance with contract discount
Call insurance companies regarding any discrepancy in payments if necessary
Enter information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensure claim information is complete and accurate.
Submit clean insurance claims to a clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
Follow up with the insurance company on unpaid or rejected claims. Resolve issue and re-submit claims.
Prepare appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany the appeal.
Post insurance and patient payments using medical claim billing software.
For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by the primary insurer. Respond to inquiries from insurance companies, patients and providers.
Follows HIPAA guidelines in handling patient information.
Verify patient benefits eligibility and coverage.
Ability to look up ICD diagnosis and CPT treatment codes from online service or using traditional coding references.
Excellent communication, time management, organizational skills, and be comfortable communicating via phone.
Demonstrated ability to be flexible, work collaboratively among internal and external departments, as applicable to identify and help resolve enterprise-wide challenges
Demonstrated ability to accurately type 30 wpm
Demonstrated service and success in teamwork and consistent high productivity and quality
Assist the Customer Service team in taking patient phone calls.
The lifestyle you can lead. Atlanta is Georgia's state capital and home to approximately half a million residents. Well known for its arts, theater, galleries and museums, cultural attractions, and institutions of higher education, Atlanta offers many things to do. Visit Georgia Aquarium, the largest public aquarium in the Western Hemisphere. Shop and enjoy great entertainment in Underground Atlanta. See wildlife shows at Zoo Atlanta. Catch a pro football, basketball or baseball game. Foodies will delight in local favorites, such as crab fritters, chicken biscuits, pulled pork sandwiches and salted caramel ice cream. Choose from many welcoming neighborhoods to live in, from downtown and midtown to Chastain Park, and from Buckhead to Cabbagetown, Kirkwood and Morningside. There's also a good selection of public and private schools and nearby colleges and universities. Public transportation is excellent, and Atlanta is also served by Amtrak and Hartsfield-Jackson Atlanta International Airport. Job, healthcare,medical, clinical, career, employment, opening, staff, benefits, health care, clinic, primary care, urgent care, accounting