Responsible for the daily completion of claims edits, denials, and no-response billing functions to ensure timely follow-up. Handles internal and external questions to completion and works with both paper and electronic claims, as well as client invoice billing.
Key responsibilities include:
- Handling telephone communication with patients, insurance companies, and other clinic or foundation personnel
- Billing, collecting, and submitting insurance and TPA claims according to payer guidelines and established workflows
- Reviewing and processing credit balances from supplied reports
- Working insurance denials through paper and electronic work queues
- Monitoring and processing assigned electronic and paper claim status, including claim edit and no-response work queues
- Completing assigned goals
Requirements & Qualifications
- Experience in a healthcare setting or relevant educational coursework
- High school diploma or GED
- Preferred: one or more years of government and/or commercial billing and collections experience in a physician or hospital setting
- Preferred: certification in medical billing or coursework, or an associate degree in Business, Finance, or a related field
- Basic computer and keyboarding skills
- Preferred: MS Office proficiency and advanced phone system experience
- Knowledge of insurance billing and collections guidelines, including payer systems such as FFS
- Experience with Epic preferred
- Effective verbal and written communication skills
- Strong customer service skills
Location
Memphis, Tennessee, US
Employment Type
Not specified
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago
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