Billing Specialist

3 weeks ago

Davie, United States Insight Global Full time

Must haves:

  • Minimum three (3) years' experience years of related healthcare billing support experience.
  • General knowledge of MS Office Suite (Outlook, Word and Excel).
  • General knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
  • Customer and Personal Service - General knowledge of principles and processes for providing customer and personal services. This includes needs assessment, meeting quality standards for services, and evaluation of user satisfaction


Responsibilities:


  • Responds to inquiries and resolves discrepancies involving moderately complex financial transactions in a timely manner, requiring a general understanding of work-area policies and procedures.
  • Reviews, follows up, and appeals for aged insurance balance accounts to ensure timely revenue collection through use of EDI clearing house, payer portals, worklog and reports for NextGen and/or Axium.
  • Reviews and processes delinquent unpaid accounts by patients accounts eligible for collections.
  • Processes referrals or authorizations as required by payers.
  • Processes claims for multiple payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.).
  • Ensures assigned claims meet clearinghouse and/or payer processing criteria.
  • Ensures appropriate follow-up on assigned work lists.
  • Ensures work meets departmental productivity and quality review standards.
  • Communicates issues regarding claims follow-up process and potential resolutions.
  • Works with payer response reports and rejection reports to meet Departmental Productivity and Quality Review Standards. Complies with federal, state, and company policies, procedures, and regulations.
  • Operates computers programmed with accounting software to record, store, and analyze information.
  • Operates 10-key calculators, typewriters, and copy machines to perform calculations and produce documents.
  • Debits, credits, and totals accounts on computer spreadsheets and databases, using specialized accounting software.
  • Checks figures, postings, and documents for correct entry, mathematical accuracy, and proper codes.

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