Job Summary: Accurately maintain up to date processing of the system and perform client billing, collection and follow-up for medical, clinical and other services provided.

 

Job Duties:

Receives paper or electronic claim forms, reviews for accuracy and completeness of information and submits a completed claim form in a timely fashion to both primary and secondary insurance companies for payment on patient accounts.Validates CPT/ICD-10 codes indicated by insurance company policy for accurate processing of claims.Keys claims electronically to Medicare, Medicaid and other companies as required.Contacts insurance companies via phone or electronic means to collect payment on submitted patient claims.Receives calls from a variety of sources regarding patient accounts.Makes necessary corrections to medical claim forms to ensure accurate payment.Answers inquiries/denials on claims and resubmits any information required by insurance companies in order to process claimsOther duties as assigned. To include but not limited to:Refund ProcessingInsurance BillingBenefit BreakdownsAdministrative Support

 

Working Conditions:

 

Position requires manual dexterity for operating standard office equipment. Position requires the ability to maintain concentration and attention to detail for long periods of time in order to maintain accurate records pertaining to patient and/or account informationPosition functions within a normal office environment.

 

Qualifications:

 

High School Diploma or equivalent required.Training in medical billing/coding preferred.Experience in claims submission processes, procedure and diagnosis coding required.Excellent verbal and written communication skills required.  Excellent organization skills required. Ability to pay attention to detail, ability to work with numbers, ability to work in a fast paced environment and ability to work independently or in a team environment are required.