Medical Billing

3 weeks ago

Las Cruces, United States AGAPE PAIN MANAGEMENT & ANESTHESIA Full time
Job DescriptionJob DescriptionBenefits:
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

JOB SUMMARY:

We are seeking a Medical Biller to perform advanced-level work related to clinical denial management and AR management. The individual is responsible for managing claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, and others as assigned. Conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is needed. Writes and submits professionally written appeals which include compelling arguments based on clinical documentation, third-party payer medical policies, and contract language. Appeals are submitted timely and tracked through final outcome.

RESPONSIBILITIES
Payment posting, accounts receivable follow-up, and reimbursement management
Responsible for generating supporting documents required for insurances, Agape Pain Management and Surgery Center of Las Cruces
Follow up on claims using various systems, i.e. practice management and clearinghouse
Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings
Prepares and analyzes accounts receivable reports and weekly and monthly financial reports in concert with the Practice Administrator. Collects and compiles accurate statistical reports.
Other responsibilities as assigned.

JOB SPECIFICATIONS

Education:

High school diploma or equivalent
Higher level education preferred

Experience:

Computer knowledge
One years experience working with patient accounts in the medical field

Knowledge, Skills, and Abilities:

Strong skills in EHR
Possess a thorough, organized and detail-oriented approach to work
Plan, prioritize and coordinate, multi-task and complete work assignments within deadlines.
Able to apply effective time management and self-management skills. Able to be flexible in position requiring timely response.
Skill in organizing resources and establishing priorities
Strong interpersonal and communication skills (written and verbal) and the ability to work effectively with a wide range of constituencies.
Ability to foster a cooperative business environment.
Knowledge of insurance, authorization, billing, and denial process

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