Credit Coordinator

1 month ago


Melville, United States The Goodkind Group Full time
Job DescriptionJob Description

Responsibilities:
• Physician Billing experience
• Knowledge of Medicare/Medicaid Governmental Benefits and Regulations
• Strong knowledge of Medical Insurance Coverages
• Process refunds for Third Party insurance, Medicaid or government assisted programs and commercial carriers
• Comply with all regulatory agencies
• Some of the duties expected, but not limited to, reviewing credit balances on accounts to resolve by correction, refund, over payment inquires and ensures compliance with internal and external agencies.
• Handles all telephone inquires related to overpayments
• Identifies Coordination of Benefits. Provides specific documentation for refunds.
• Performs other job related duties, as required.

Qualifications
• Knowledge of EPIC, preferred
• Full knowledge of ICD9/10 and CPT coding
• Knowledge of HIPPA
• Full knowledge of Third Party Billing (use of modifiers and COB rules)
• Proficient in MS Office (Word and Excel)
• Working knowledge of all insurance and/or government rules regarding payment, credit procedures, claims submittal and appeals process
• Knowledge and utilization of Third Party Websites
• Ability to read and correctly interpret Explanation of Benefits
• Ability to work efficiently both independently and in a team environment
• Participation in all educational activities, seminars, and webinars

Education and Work Experience:
• High School Diploma or GED, at minimum
• Some college preferred
• Three (3) years healthcare billing, reimbursement or collections



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