We are a well established Ear, Nose, Throat and Allergy practice located in Westlake Hills, Texas (78746).
We are seeking an A/R Specialist to join our team.
Qualifications:
- Minimum three (3) years of billing/collections experience within a clinic or physician practice. ENT preferred.
- High school diploma required; formal billing education preferred.
- Strong working knowledge of insurance plans, including Medicare.
- Strong working knowledge of ICD-10 and CPT coding.
- Strong working knowledge of claim appeals, denials, and their processes for AR.
- Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems. (ModMed)
- Effective time management and the ability to prioritize work.
- Excellent communication skills and the ability to interact with all levels of management, staff, and physicians.
- Ability to read and interpret medical charts.
Essential Job Responsibilities: * Reviews and analyzes insurance claims being sent electronically on a daily basis.
- Ensures claims are sent electronically and via paper every day,
- Ensures that rejections from the clearinghouse and insurance company are resolved daily, within 24 hours of submission.
- Generates CMS 1500 forms, when necessary.
- Ensures timely processing of all secondary claims, within 48 hours of primary insurance payment posting.
- Works closely with lead biller to facilitate the gathering of information that will insure proper response to claim denials.
- Follow-up on all unpaid claims in a timely manner.
- Generate and work aging reports weekly.
- Maintain computer office notes for clear audit trail on every account worked.
- Maintains tickler files, claims, and follow-up.
- Work delinquent reports after all correspondence is updated.
- Update patient insurance information to guarantee correct insurance billing.
- Provide customer service to patients inquiring about their patient account statements.
- Effectively communicate with patients and insurance companies regarding sensitive financial matters.
- Send via mail or fax: invoices, medical reports and patient notes to insurance companies to collect payments.
- Print aging/delinquent reports; review work accounts.
- Assist with collecting payments via phone.
- Often times helping with billing out clean claims and posting claims.
- Benefits:
- Accrued PTO
- Medical
- Dental
- Vision
- 401k (after waiting period)
- Great team culture!
Please provide your resume.
Job Type: Full-time
Pay: $23.00 - $25.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- ICD-10: 3 years (Required)
Work Location: In person
