Denial Management Coordinator

4 weeks ago


Bedford, United States MedicalWorx Staffing Full time
Job DescriptionJob Description

Summary:

The Medical Billing Specialist is responsible for Handling any billing inquiries from insurance and patients, keeping up with the denied or rejected claims, maintain aging’s and claims billing. The Medical Billing Specialist needs to be able to identify trends and exceptions to billing rules, payment inconsistencies that can affect overall reimbursement or the claims appeal process.

Qualification Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Adheres to Employee Policy Manual, compliance Plan, Code of Ethics, HIPAA & OSHA Safety Programs. The competence of the employee in performing his or her job duties will be demonstrated, maintained, and improved on an ongoing basis. The statements contained in this position description reflect the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered a detailed description of all the work requirements that may be inherent in the position.

Minimum Qualifications:

· Education: High School or equivalency

· Experience: Minimum of 3 years in medical office billing

Knowledge:

· Knowledge of practice management computer systems and applications.

· Knowledge of the policies and procedures of a clinic sufficient to direct its operations and to provide effective

patient care.

· Knowledge of insurance fee schedules and reimbursement rules.

Skills:

· Skill in authorizations and insurance benefits.

· Skill in managing the claims and appeal process.

· Skill in effectively handling accounts receivable and collections.

· Skill in time management and prioritization.

· Skill in computer-based systems to document, order, and communicate with office staff and patients.

· Skill in verbal and written communication.

Abilities:

· Ability to identify claim and authorization discrepancies.

· Ability to communicate and work with all departments regarding patient claim and payment issues.

· Ability to act as liaison with patients and office to collect payments and resolve payment related issues.

Essential Functions:

· Post all electronic, website, credit card payments in electronic software.

· Back up the front desk with scanning, phones calls, benefits

· Performs other duties as assigned.

Company DescriptionMedicalWorx Staffing is committed to making sure the performance of our employees meets or exceeds your productivity expectations. MedicalWorx wants to have a measurable impact on your culture and increase our value to your company. We can provide talented, qualified employees for temporary, contract to hire or direct hire positions or payroll services.Company DescriptionMedicalWorx Staffing is committed to making sure the performance of our employees meets or exceeds your productivity expectations. MedicalWorx wants to have a measurable impact on your culture and increase our value to your company. We can provide talented, qualified employees for temporary, contract to hire or direct hire positions or payroll services.

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