Job DescriptionJob DescriptionDescription: Summary/ObjectivePrimary duties include, but are not limited to: consistent follow-up on unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement. Secondary duties include but are not limited to: data entry of all patient demographics, guarantor and insurance information, posting procedures and insurance/patient payments, scheduling, and ensuring authorizations are current.General DutiesEnsure all claims are submitted weeklyVerifies completeness and accuracy of all claims prior to submissionAccurately post all insurance and patient payments dailyTimely follow-up on insurance claim denialsReading and interpreting insurance explanation of benefitsCompletion of monthly aging reports to follow-up on unpaid claims aged over 30 daysMonthly patient statementsObtaining referrals/authorizationsScheduling of appointmentsCompetenciesLeadership and staff motivation skillsBusiness Acumen.Communication.Consultation.Critical Evaluation.Ethical Practice.Global & Cultural Awareness.Relationship Management.Supervisory ResponsibilityNoneRequirements: Required Education and ExperienceHigh school diploma/GED required + 2 years' experienceElectronic Medical Record experience Exceptional customer service skillsAdvanced communication and organizational skills Ability to multi-task and work courteously and respectfully with fellow employees, physician offices and patients.Preferred Education and ExperienceSpanish speakingCPT and ICD-10 codingHealth care terminology highly desiredExperience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.Knowledge of private insurance and Medicaid referral/authorization guidelinesAdditional Eligibility QualificationsMust pass criminal history background checkOther Duties - Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Work Environment - Shared office spaceEssential Functions - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Not specified in the original listing.
Not specified in the original listing.
