Review and understand insurance policies and standard Explanation of Benefits.
Review and understand medical documentation effectively.
Resolve back collection-related tasks, including:
- Denial appeals
- Payment review and balance billing
- Claims generation
Establish and maintain effective communication and working relationships with insurance carriers, patients/families, and internal teams for the patient’s benefit.
Perform clerical tasks as needed, including:
- Answering patient and insurance calls
- Faxing and emailing
Communicate clearly with the Manager/Supervisor and other leadership, and report concerns or issues to the Revenue Cycle Manager and Supervisor.
Perform other responsibilities and projects as assigned.
High school diploma or equivalent.
Knowledge of explanation of benefits from insurance companies.
General knowledge of government, regulatory billing, and compliance regulations/policies for Medicare and Medicaid.
Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, and insurance benefits.
Ability to answer internal and external customer questions accurately based on policies and procedures.
Ability to maintain productivity goals with consistent accuracy.
3-5 years of DME or medical billing experience preferred.
Minimum of 1 year of insurance verification or authorization experience required.
Strong organizational skills.
Proficiency in Microsoft Office, including Outlook, Word, and Excel.
Attention to detail and accuracy.
Effective professional written and verbal communication skills.
Location
Louisiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago