Responsible for reviewing, analyzing, and initiating appropriate action for denial resolution by communicating with payers, medical practices, hospital departments, and patients.
Focuses on follow-up with third-party insurance companies to resolve unpaid account balances, with emphasis on specialty payers including military, correctional facilities, assault victims, and hospice.
Works assigned denial and no-response work queues to resolve uncollected account balances, complete rebilling and write-off actions as needed, and support timely claim resolution.
Requirements & Qualifications
Education and Experience
- High school diploma or equivalent required
- Associate degree preferred
- 3-5 years of physician billing/coding experience preferred, ideally in a computerized physician billing department or large physician group practice
- Epic experience preferred
- Equivalent combination of education and experience may be substituted
Knowledge and Skills
- Understanding of revenue cycle processes from patient access through patient financial services
- Knowledge of medical terminology
- Knowledge of physician billing and reimbursement policies and procedures
- Knowledge of CPT-4 and ICD-10 coding as it relates to physician billing
- Understanding of CARC/RARC codes
- Familiarity with physician office practices
- Ability to enter, update, and retrieve information using a computer
- Strong written and oral communication skills
- Ability to work independently within established guidelines
- Good judgment and tact
Location
Delaware, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago