Essential functions

Prepare and submit clinic claims to third-party insurance carriers electronically or by hard-copy billing.
Secure medical documentation required or requested by payers.
Follow up on unpaid claims until paid or reduced to self-pay balance.
Process rejections, correct billing errors, and resubmit claims as needed.
Meet production and quality assurance standards.
Maintain quality customer service and follow company and customer-specific policies and procedures.
Protect customer information and maintain confidentiality.
Process miscellaneous paperwork and assist with team projects as needed.
Submit claims daily with a goal of zero errors.
Follow up timely on insurance claim status.
Read and interpret EOBs.
Respond to inquiries from insurance companies.
Perform denial management.
Meet with billing leadership to resolve reimbursement issues and billing obstacles.
Review late charge reports, corrected claims, and write-offs according to client policy.
Review readmission and overlapping service date reports and adjust billing according to payer and client rules.
Review credit reports and resolve payer-related credits when possible.

Minimum qualifications

3 years of recent clinic billing, physician billing, or hospital billing experience.
Recent experience working with Epic PB is required.
Experience with CPT and ICD-10 coding.
Familiarity with medical terminology.
Ability to communicate with various insurance payers.
Experience filing claim appeals with insurance companies.
Strong written and verbal communication skills.
Ability to multitask.
Strong computer skills.