Patient Accounts Billing Specialist
1 day ago
We are seeking a highly skilled Patient Accounts Billing Representative to join our team at the Greater Lawrence Family Health Center. In this role, you will be responsible for ensuring timely and accurate submission of claims to payers, analyzing and reviewing outstanding accounts receivable, and preparing appeals and corrected claims for resubmission.
Key Responsibilities:
- Follow department and payer processes to ensure all claims are submitted in a timely and accurate manner.
- Analyze and review outstanding accounts receivable to identify and resolve issues.
- Prepare appeals and corrected claims within payer guidelines for resubmission to maximize reimbursement.
- Review patient eligibility using practice management function or payer websites to determine the correct payer to be billed for specific dates of service.
- Prepare claim data according to department and payer regulations to produce a "clean" claim.
- Prepare, review, and transmit claims timely to payers, work EDI rejections, and post charges, payments, and denials in practice management system accurately.
- Work denials and prepare appeals, resubmit claims, and perform compliant actions to resolve open accounts receivable. Report unusual trends to supervisor.
- Utilize insurance and practice management online systems to complete all required tasks such as eligibility, claim status, and claim correction.
- Process insurance and patient refunds as necessary.
- Answer patient and department calls, assist in telephone inquiries regarding patient statements, and establish payment arrangements when appropriate.
- Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch.
Qualifications:
- 1-2 years of medical billing experience, or medical billing certification.
- Knowledge of CPT, ICD10 coding, and compliance preferred.
- Familiar with medical terminology.
- Combination of education and equivalent experience will be considered.
What We Offer:
A great working environment, comprehensive benefit package, growth opportunities, and tuition reimbursement.
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