Responsible for supporting charge entry for a physician practice and ambulatory surgery center (ASC). This role prepares and submits accurate physician and facility claims to insurance providers, works aging accounts receivable, and helps resolve insurance denials and appeals as well as aging patient balances. The position also involves interacting with patients about expected costs and current balances.
Primary responsibilities include:
- Prepare claims for submission and work denials according to Billing Manager protocols
- Request and obtain accurate prior authorizations for scheduled surgeries
- Review surgery EMRs for errors and ensure corrections are completed by the appropriate parties
- Create and submit claims for surgeries for both physician and ASC services
- Resolve rejected claims daily to support timely submission
- Review aging insurance accounts receivable and help correct issues to support future payments
- Identify and assist in resolving trending payer issues
- Discuss insurance and billing questions with patients in person and by phone
- Set up patient payment plans
- Cover other billing positions during vacation periods
Requirements & Qualifications
Education and experience
- High school diploma or equivalent
- Minimum 2 years of customer service experience
- Healthcare billing representative or medical receptionist experience preferred
- If you do not have healthcare billing experience, include in your cover letter why you are interested in the field
Skills and abilities
- Excellent written and verbal communication skills
- Strong mathematical and analytical problem-solving ability
- Ability to type 40+ WPM
- Strong computer skills
- Well-organized with strong attention to detail
- Ability to manage multiple tasks simultaneously
- Team-oriented mindset
Location
Louisville, Kentucky, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago
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