Under the direction of the Billing Office Manager, this role is responsible for the proper and timely processing of claims and payments to providers.
Key responsibilities include:
- Following up on denied or pended medical claims and responding to associated correspondence
- Resubmitting corrected claims to payers and filing appeals when necessary
- Analyzing unpaid claims and determining the appropriate resolution
- Communicating payer trends and issues to management
Requirements & Qualifications
Required skills and qualifications
- Working knowledge of CPT and ICD-10
- Knowledge of healthcare insurance claim practices and compliance
- Knowledge of computer systems, programs, and applications
- Knowledge of medical terminology
- Ability to research and report claim information
- Ability to troubleshoot insurance claim issues
- Strong written and verbal communication skills
- Strong customer relations skills
- Ability to work effectively with physicians, medical staff, and external agencies
- Ability to identify and analyze claim problems
- Team-oriented and collaborative
- Service-oriented with a focus on meeting customer needs
- Results-driven with attention to improvement and accountability
- Commitment to continuous learning and growth
- Good computer skills using a medical management application
- Strong work ethic and professionalism
Education and experience
- High school diploma or equivalent required
- Some college preferred
- 2 to 3 years of healthcare experience required
Location
Arkansas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago