EXPERIENCE / SKILLS:
One year medical billing experience
Knowledge of physician billing policies and procedures
Computer literate
Ability to work in a fast-paced environment
Excellent organizational skills
Ability to work independently
EDUCATION:
High school diploma or equivalent.
WORKING CONDITIONS:
This job will be performed in a well-lighted and well-vented environment. Requires
constant sitting tolerance. Involves extensive computer use.
Set in a pleasant, high-volume, fast-paced office environment.
Overtime may be required and can be mandated by Management
External Job Description and Responsibilities
JOB DESCRIPTION OVERVIEW:
This position is responsible for reviewing various carrier denials at their assigned Billing Group. Maintains accuracy and production to ensure invoices are being processed efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews ETM task list assignment, comments, and rebills claim as necessary
Reviews denials to determine appropriate action based on carrier requirements
Assembles and forwards appropriate documentation to the senior representative for carrier related issues
Reviews carrier provider manuals for billing updates as needed
Reports any consistent errors found during review that affect claims from being processed correctly
Participates in department meetings with Accounts Receivable Team
Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
Performs any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable Manager