Job Description

Position Summary: Responsible for processing and submitting claims to insurance companies, verifying insurance coverage, and collecting, posting payments from patients and insurances. Verifies that transactions comply with department’s policies and procedures and all applicable government and insurer regulations.
Essential Functions and Responsibilities as Assigned:
Prepares bills and invoices for medical services.
Verifies accuracy of billing data and resolves errors.
Obtains insurance and financial information from patients.
Obtains medical authorization for payment from insurers.
Updates records with payments from insurance providers and patients.
Reviews failed, billed, and rejected claims to find resolutions.
Works with insurance companies to collect payment on medical bills and post to accounts.
May update Medicare and Medicaid cost and bad-debt reports, billing, collection and other related information.
May work with providers to identify the appropriate codes in selecting the patients’ care plans, associated orders for treatment and any co-morbid conditions. Provides continuous education on the appropriate documentation to support all codes captured by the providers in the electronic health record.
Answers patient questions regarding repayment methods and billing disputes.
Contacts individuals to reconcile accounts and may establish payment arrangements.
Monitors debts and unresolved patient accounts by filing claims,
May refer bills for collection and collaborates with designated collection agencies to collect seriously delinquent accounts.
May collect co-pays and other required fees at the time of patient admittance.
Acts as a liaison between insurance companies, health care providers and patients.
Performs other related duties as required and directed.
Qualifications:
Required:
High school diploma or GED.
Preferred:
One year of medical billing/coding experience.
Medical billing education.
Degree in health care administration, accounting, or related.
Billing or coding certification.
Additional Information
Schedule: Full-time
Requisition ID: 25005491
Daily Work Times: 8:30am-5:00pm
Hours Per Pay Period: 80
On Call: No
Weekends: No

Job Tags

Full time, Weekend work,

Similar Jobs

Conch Technologies Inc

Python Developer/Data Science/Data Engineer/ AI/ML Engineer Job at Conch Technologies Inc

...Engineer to join our team and lead the development of innovative AI solutions. Your expertise in Python development, deep learning, and data analysis will be critical in creating intelligent and transformative AI applications. You will work closely with cross-functional...

Lenmar Consulting Inc.

Entry Level Trade Settlement (Max $20/hr W2) Job at Lenmar Consulting Inc.

...BACHELOR'S DEGREE REQUIRED The successful candidate may have some experience and interest in the financial services or investment banking industry. Role is for a temporary employee supporting the Security Settlements department within the Shared Services and Bank...

BrightSpring Health Services

Clinical Social Worker Neuro Rehab Job at BrightSpring Health Services

...and independence. We're hiring PRN and Part-Time Clinical Social Workers who value flexibility, work-life balance, and competitive pay.... ...by You Paid per hour (not just per visit) Driving, Travel, Mileage Reimbursement Educational Programs Growth...

Realtech Services

Lead Snowflake Data Engineer Job at Realtech Services

...Title: Lead Snowflake Data Engineer Location: Dallas, TX (Local Profiles Only) Duration: Long Term Contract Requirement: Key Responsibilities: Lead the end-to-end architecture and implementation of Snowflake(Bronze/Silver/Gold layers). Partner with...

USA Clinics Group

Healthcare Recruiter Job at USA Clinics Group

...mission-driven company Positive, team-oriented environment Position Summary: USA Clinics Group is looking for a Healthcare Recruiter with a, "roll-up their sleeves", mentality to join our team at our Corporate Office! The successful candidate will be able...

Medical Billing Specialist Job at McLaren Health Care, Pontiac, MI

ZFBFWUswRm1lcDg5aGlZTVMzR3NVMFdRdlE9PQ==