Accounting Specialist

3 weeks ago


Buffalo, New York, United States Dent Neurologic Group LLP Full time
Overview: Dent Neurologic Institute is a leading provider of neurologic care, dedicated to delivering exceptional patient outcomes. Our team is built on respect, quality, productivity, and well-being.

We are seeking an experienced Billing Specialist to join our team in Amherst. The successful candidate will be responsible for coordinating the follow-up process, reviewing and collecting on submitted medical claims, and ensuring timely payment processing.

The ideal candidate will possess excellent communication skills, a strong sense of urgency, and the ability to prioritize multiple tasks simultaneously in a fast-paced environment.

Responsibilities:
  • Initiate and coordinate follow-up process to review and collect on all submitted medical claims
  • Research and follow up on outstanding receivables via telephone, provider inquiry form, and written correspondence
  • Demonstrate working knowledge of computer applications such as Word, Excel, and internet browsers to access various insurance carrier websites for updates and insurance procedures/treatment policies
  • Utilize all available resources to correct and appeal claims, including documentation of service, medical literature, pre-certification, authorizations, procedure and diagnosis coding manuals, and reference materials
  • Understand payer appeal process when claims appeal efforts do not succeed and know when and how to move to a formal appeal process
  • Work assigned Insurance Denial Bucket, Follow-up claims, Medicaid claims, 45, 90,120+ day aging claims, Negative Balance Claims and Refunds, Meeting claim filing deadlines, Printing HCFA claims, EBO report generated every Monday for patients with Balances, Process Medical Expense Reports, Sort mail appropriately and work Insurance correspondence

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