Maintains productivity and accuracy metrics per department expectations.
Responsible for working claim errors in the claims management system to ensure clean claims are submitted timely to insurance carriers.
Reviews insurance rejections to determine next appropriate action steps and obtain necessary information to resolve outstanding rejections.
Corrects and identifies billing errors and resubmits claims to insurance carriers.
Verifies patient demographic information and insurance eligibility, including coordination of benefits, and updates information as necessary to allow processing of claims to insurance plans.
Assists in identifying and communicating trends and potential issues to the management team.
Maintains payer website user access.
Maintains Athena master files, including referring provider information, accurate insurance plan information, and payer enrollments.
Responsible for EDI, ERA, and EFT enrollments for all payers.
High school diploma or GED.
2 to 3 years of experience in medical billing.
Prior experience working claim errors in a claims management system preferred.
Knowledge of ERA/EFT enrollment and ANSI formatting preferred.
Demonstrated knowledge of revenue cycle applications.
Prior experience configuring revenue cycle vendor-supplied software preferred.
Knowledge of ICD-10, HCPS, and CPT codes, medical terminology, and billing practices.
Advanced computer knowledge, including Windows-based programs.
Location
Phoenix, Arizona, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago