Billing Specialist

2 weeks ago


Jacksonville, United States North Florida Surgeons Full time

Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement.

Responsibilities:

  • Reporting of carrier performance according to contracted fee schedule
  • Denial management
  • Good oral and written communication skills
  • Effective Problem-solving skills and make independent decisions
  • Work effectively in a team environment
  • Perform consistent, assertive, efficient and timely follow-up on accounts as determined by Management
  • Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements
  • Medicare, Medicaid, and/or third party payer experience in dealing with healthcare insurance companies through phone follow-up and letter correspondence during the appeals or denial resolution process
  • Corrects billing errors, edits, overlaps, etc., and submit clean claims
  • Review payment variances and remittances for resolution in an efficient and timely manner for processing of patient and/or insurance refunds.
  • Identify payer issues or trends and update Manager in a timely manner, providing concrete examples for Management to review.
  • Other duties as assigned.
Requirements
  • Minimum of a high school diploma, coding and billing courses helpful.
  • Additional training in Athena and Trizetto a plus.
  • Skill in computer applications

Full time - Monday to Friday
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