Responsible for researching outstanding balances and determining the correct action to ensure maximum reimbursement. The role leads corrective actions for accounts with outstanding balances, processes correspondence related to account financial status, and identifies trends in denials and reimbursement issues for escalation to billing leadership.
The position is typically performed in an office environment, with the option to work from home. Onsite presence may be required from time to time for projects or team meetings. The role reports to the Director of Revenue Cycle and does not have direct reports.
Key responsibilities include managing outstanding accounts receivable, resolving balances, resubmitting claims, following up on aged receivables, correcting payment posting errors, researching rejected claims, communicating billing and coverage concerns, answering patient and facility questions, preparing refund requests, recommending accounts for bad debt write-off, supporting team strategy and productivity goals, providing training support, and creating reports on billing department progress.
High school degree or equivalent required.
- 1 to 3 years of medical billing/claims experience
- Knowledge of EOBs, EFTs, and ERAs
- Experience with CPT codes and ICD-10 coding preferred
- Experience with electronic medical records preferred
- FQHC billing and payment posting preferred, but training may be provided
- Medent experience preferred
- Knowledge of Microsoft Office software
- Strong attention to detail, organization, and problem-solving skills
- Excellent verbal and written communication skills
- Ability to work independently and as part of a team
- Must be focused and self-directed
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 year ago