Full-time Billing Specialist

1 week ago

Lafayette, United States Southern Urology Lafayette Full time

EXPERIENCED MEDICAL BILLER/AR SPECIALIST ALSO NEEDED TO PRE-CERT RADIOLOGY AND RADIATION CLAIMS -   NEEDED FOR A BUSY SPECIALTY CLINIC. THIS IS A FULL-TIME OFFICE JOB IN LAFAYETTE. EXPERIENCE REQUIRED DESCRIPTION OF SOME OF THE JOB DUTIES: Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients Process assigned AR work lists provided by the manager in a timely manner Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations Recommend accounts to be written off on Adjustment Request Reports address and/or filing rule changes to the manager Check system for missing payments Properly notates patient accounts Review each piece of correspondence to determine specific problems Research patient accounts Reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.) Processes and follows up on appeals. Files appeals on claim denials Scan correspondence and index to the proper account Inbound/outbound calls may be required for follow up on accounts Route client calls to the appropriate RCM Respond to insurance company claim inquiries Communicates with insurance companies for status on outstanding claims Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance (day one of employment) Health insurance (day one of employment) Paid time off Vision insurance Schedule:            Day shift      Monday to Friday Experience: ICD-10: 2+ years (Required) Powered by JazzHR

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