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Billing Specialist

FamilyCare Health Centers

Work Location: Onsite ONLY in Teays Valley, West Virginia

The employee is regularly required to talk, hear, and sit. Repetitive arm, hand, and finger movements are regularly required. Frequently required to stand, walk, stoop, and reach. Occasionally must lift and/or move up to 25 pounds. Vision abilities required include close vision, color vision, and ability to adjust focus.

Qualifications:

High School graduate or equivalent. Excellent customer service, telephone, and computer skills. Knowledge of medical coding and medical billing is essential.

Basic Function:

Generate third party and patient billing, compile statistical reports, post payments, and perform other billing department duties.

Duties:

  • Review provider data for accuracy and edit before claim generation
  • Review insurance information and payer-specific requirements including authorizations, modifiers, and correct claim forms
  • Submit claims electronically to payers
  • Work directly with insurance companies, healthcare providers, and patients regarding claims and reimbursements
  • Investigate and resolve claim denials
  • Use various payer websites
  • Verify patient insurance eligibility
  • Perform payment posting and batch maintenance
  • Assist patients with account questions
  • Audit, confirm, and submit documentation for refunds
  • Manage weekly/monthly inbox reports and aging reports
  • Perform other assigned duties
Requirements & Qualifications
  • High School diploma or equivalent
  • Knowledge of medical coding and billing
  • Excellent customer service and computer skills

Location

West Virginia, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

2 weeks ago

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