Responsible for filing insurance claims, managing denials, and handling adjudication in accordance with LBJI contracts.
Performs daily review of accounts receivable reports, manages patient accounts to ensure accurate and timely claim submission, researches unpaid and denied claims, verifies documentation for paper claims, and initiates appeals or re-files claims as needed.
Supports refund requests, gathers medical billing records for insurance companies and audit contractors, obtains retro authorizations, and serves as an internal resource for staff questions.
Maintains communication with insurance carriers, patients, physicians, and internal teams to resolve billing issues, track denial trends, and secure electronic payments and remittances.
Ensures confidentiality, HIPAA compliance, and participation in required meetings. May travel between Lakeshore Bone & Joint facilities as needed.
Qualifications
- High school diploma or equivalent
- Minimum of 2 years of medical insurance experience preferred
- Knowledge of CPT and ICD-10 codes
- Knowledge of Explanation of Benefits (EOBs)
Required Skills
- Proficiency in Microsoft Word, Excel, and Outlook
- Digital literacy
- Critical thinking and problem-solving ability
- Ethical reasoning and decision-making
- Strong attention to detail
- Receptive and responsive to feedback
- Excellent verbal and written communication skills
- Strong time management, prioritization, and sense of urgency
- Ability to maintain patient confidentiality
Location
Indiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago