Reviews and resolves claims issues identified in in-house holds and claim scrubbing holds.
Submits clean, timely claims on first billing and works reconciliation desktops to process and resubmit upfront claim rejections to the correct payer.
Reviews outstanding accounts receivable using ATB, queues, and payment reports.
Submits timely and accurate adjustments while documenting account activity.
Manages denials and submits timely disputes and appeals.
Follows up with insurance companies to ensure claims are processed and paid correctly according to contract.
Understands payer contracts, billing guidelines, revenue codes, CPT codes, modifiers, and payer-specific requirements.
Investigates and reports denial trends for departmental review and action planning.
Provides backup phone support to billing lines as needed.
Works full time, day shift, 80 hours biweekly.
High school graduate or equivalent.
Athena experience preferred.
Knowledge of business office operations.
Understanding of third-party billing requirements.
Understanding of Medicare and Medicaid inpatient and outpatient billing.
Strong customer service skills when responding to patient and internal customer inquiries.
Experience using office equipment.
Ability to adapt professionally to changes in procedures and workload.
Excellent written and oral communication skills.
Ability to work independently with little supervision.
Ability to maintain concentration and work under pressure with attention to time constraints.
Commitment to cross-training across assigned tasks.
Location
Indiana, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago