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Billing & Collections Specialist
4 months ago
Accountabilities:
- Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with clients/customers, when necessary, on information that seems incomplete or is lacking for proper account / claim adjudication.
- Responsible for correcting, completing, and processing claims for all payer codes.
- Analyze and interpret the claims are accurately sent to insurance companies.
- Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and health insurance companies on unpaid insurance accounts identified through aging reports.
- Able to identify and appeal claims if needed and or ability to process appeals online or via paper submission; Assist with billing audit related information.
- Attends customer meetings/ workshops / implementations when needed.
- Ability to navigate commercial/customer payment platforms and or portals.
- Communicate daily with internal and external customers via phone calls and written communications.
- Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor.
- Research, record findings, and communicate effectively with Manager to achieve optimum performance.
