Responsible for resolving unpaid insurance accounts by contacting insurance companies through various channels to secure payment for patient encounters.
The role involves working with payer representatives, investigating pended claims, resolving billing and credentialing issues, posting claim resolutions, maintaining provider manuals for assigned carriers, and monitoring physician enrollment to meet timely filing requirements.
Requirements & Qualifications
Technical expertise
- Experience processing and billing physician claims is required.
- Experience in billing and collections, including CPT and ICD coding knowledge, payer remittance coding/processes, and outcomes analysis/reporting, is required.
- Experience working with management team members and clinic staff is required.
- Proficiency managing CMS-formatted claims is required.
- Proficiency with MS Office applications, including Outlook, Excel, and Word, is required.
- Epic experience is preferred.
Education and experience
- High school diploma or equivalent is required.
- Bachelor's degree is preferred.
- Medical Billing Certificate is preferred.
- Minimum 1 year of relevant experience is required.
- 5 years of relevant experience is preferred.
Location
Ohio, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
3 weeks ago