Billing Specialist Workers Compensation
6 days ago
At Bright Light, we are an established and well respected multi-location Diagnostic Imaging Center, specializing in absolute optimal patient care. Our facilities offer advanced, hospital-level technology without the high end hospital costs. Our patients appreciate our comfortable, welcoming atmosphere with our added personal touch approach to healthcare. Our mission is to provide compassionate, excellent care every day and to foster a positive presence in our surrounding communities. We cultivate a dynamic work environment that inspires our employees to learn, thrive and grow within. Our dedicated pursuit in employing ambitiously skilled team members is what continues to successfully propel Bright Light forward
WHAT WE ARE LOOKING FOR:
Billing Specialist Workers Compensation -
Location: Arlington Heights
Days/Hours: Monday- Friday 9am-5:30pm
WHAT A TYPICAL DAY LOOKS LIKE:
- Ensure all required claim information is acquired and documented
- Assist patients and claim adjusters with questions, address any issues
- Schedule TPL appointments
- Thorough review of chart and correspondence to determine merit of case
- Verify workers comp claims, lead process of obtaining pre authorization in advance of scheduled appointment
- Submit medical claims to TPL payers
- Confirm personal injury claims, auto claims and attorney representation details prior to scheduled appointment
- Communicate with insurance providers to resolve denied claims, resubmit when necessary
- Follow up on claim status, appeals and negotiations in a timely manner
- Submit appeal requests or reconsiderations for denied claims
- Responsible for any subpoena request for appearance
- Manage receivables, process and post patient and payer payments
- Perform all other duties as assigned
- Ability to alternate between prolonged periods sitting, frequent standing, lifting, reaching, stooping. Must be able to lift up to 15 lbs
QUALITIES YOU SHOULD POSSESS:
- Solid, concise verbal and written communication skills
- Ability to meet strict deadlines
- Highly focused on detail, exceptional organizational and follow through abilities
- Ability to be resourceful and self-reliant to take independent initiative making decisions when issues arise
- Flexibility to adapt quickly to any disruptions or changes in the day
- Ability to analyze, identify and resolve issues which may cause payer payment delays
- Multitasking and time management skills, with ability to prioritize tasks
- Possess information research skills, accurate data entry skills
- Solid understanding of medical terminologies, coding and billing procedures
EDUCATION, EXPERIENCE & REQUIREMENTS:
- High School Diploma or GED Certificate
- Prior claims, appeals and denial experience performed in a medical/office setting
- Experience with electronic health records (EHR), medical billing software and practice management systems
- Intermediate level of Microsoft Office applications
BENEFITS & PERKS:
- Competitive pay and growth opportunities
- Paid on-site training
- 401(k) with company match
- Multiple private health insurance options
- Paid time off plus designated holidays
- Annual uniform allowance
- LifeMart access to employee based discount program
- Monthly appreciation breakfast & lunches
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