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AR/Customer Service Specialist
2 months ago
TITLE: AR/Customer Service Specialist
LOCATION: Milwaukee, WI (Onsite)
SCHEDULE: 7:30am-4:00pm, 40 hrs/week, 5 days/week
PAY: $18.00 - $23.00 Hour DOE
This is the pay range that BAHAMA Consulting reasonably expects to pay someone for this position.
SUMMARY: Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines.
RESPONSIBILITIES:
- Research and resolves pending and unpaid laboratory claims to resolution.
- Accurately interprets remittance advice regarding payments, adjustments and patient responsibility ensuring payment amounts and patient billing are accurate.
- Reviews Electronic Fund Transfers (EFTs) / insurance payments where applicable to ensure money is posted to correct system.
- Input patient, insurance, and claim information into billing systems.
- Under the direction of Billing leadership, accurately works assigned work queues on billing systems, gathering missing or incomplete billing information when needed.
- Responsible for claims follow-up.
- Thoroughly researches reasons for denial, short payments, overpayments, recoupments, and/or refund requests to resolution.
- Professionally answers incoming phone calls (i.e. patients, clients, payers) providing accurate information regarding outstanding bill/invoice/claim or other reason for inquiry.
EDUCATION & EXPERIENCE:
- High School Diploma, GED or equivalent. – Required
- 4 years insurance billing experience. Medical billing experience, knowledge of insurance rules, customer service experience.
- A working knowledge of medical billing practices such as contractual adjustments and cash posting is preferred.
- Working knowledge of Epic desirable.
Benefits: Medical, Dental, Vision, HSA, Employee Assistance Program (EAP), STD, LTD, Life and 401(K)
BAHAMA Consulting is an equal opportunity employer. If you need accommodation for any part of the application and hiring process or have any questions, please contact HR.
7:30am-4:00pm, 40 hrs/week, 5 days/week
