Medical Billing and Accounts Receivable Specialist

3 days ago

Washington, Washington, D.C., United States Planned Parenthood of Metropolitan Washington DC Full time

Planned Parenthood of Metropolitan Washington DC is seeking a highly skilled Medical Billing and Accounts Receivable Specialist to join our Revenue Cycle team.

About the Job

This role will play a critical part in supporting our organization's financial activities by performing all billing and collection functions for selected payer groups/financial classes, including posting and follow-up on all outstanding accounts receivables (A/R). The successful candidate will be an active participant in meetings with affiliates, completing special projects as assigned.

Responsibilities:
  • Conduct claim follow-up on open A/R to ensure prompt adjudication.
  • Perform daily ERA, EOB, and patient payment posting.
  • Submit electronic and paper claim files, correct claims and charge review edits, warnings, and errors; run statement files; and download ERAs/EOBs as needed.
  • Review and monitor clearinghouse claim errors and global payer rejections for possible system edits or payer updates.
  • Daily review of billing work queues.
  • Credit balance review and processing.
  • Insurance benefit verification.
  • Analyze payer denial trends and coding requirements to ensure payment of claims.
  • Complete month-end activities in a timely manner and accurately reconcile month-end.
  • Ensure affiliate claim KPIs are met.
  • Participate in Revenue Cycle Team meetings/conference calls and provide necessary reporting, feedback, and training.
Qualifications:
  • Bachelor's degree preferred, high school diploma or equivalent required.
  • Three or more years' experience in medical billing and/or accounts receivable.
  • Epic experience preferred.
  • Ability to work independently, prioritize tasks, and communicate effectively.
  • Experience with patient billing and collections.
  • Ability to handle confidential materials.
  • Ability to thrive in a fast-paced environment.
  • Superb attention to detail.
  • Strong problem-solving skills.

The estimated annual salary for this position is $55,000 - $75,000 depending on location and experience. We offer a competitive benefits package and opportunities for professional growth and development.

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