Responsible for medical billing from insurance companies and patients. Serves as a liaison between practices, clinics, the business office, payors, and patients. Establishes and maintains contact with payor representatives, answers account-related calls, maintains accurate patient accounts receivable information, and follows approved processes, policies, and procedures.
Additional responsibilities include reviewing claims and claim edits in Availity and other payer portals, resolving billing errors and rejected claims, researching payer requirements, correcting claim information in NextGen, documenting resolution activities, maintaining payer profiles, keying billing data, verifying patient coverage, reviewing EOBs for accuracy, posting payments, processing refunds, handling patient inquiries, following up on unpaid claims, and completing necessary paperwork.
Three or more years of work experience in medical billing and accounting.
Strong knowledge of medical billing, including CPT and ICD-10 coding. Strong knowledge of Medicare rules and regulations. Strong knowledge of medical billing procedures, medical insurance, credit and collection procedures, and accounts receivable collection. Detail-oriented, professional, reliable, and organized. Strong management and organizational skills. Ability to follow and provide verbal and written instructions clearly. Strong interpersonal and customer service skills. Ability to communicate effectively in English, verbally and in writing. Mathematical and analytical ability for basic to intermediate problem solving. Basic to intermediate computer skills. Proficiency with Microsoft Excel, Word, and Outlook. Knowledge of systems related to the job function. Understanding of state and federal regulations and HIPAA guidelines.
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago