Responsible for billing and follow-up of patient and client accounts based on working knowledge of regulations governing CPT codes, diagnosis codes, Medicare, Medicaid, managed care, and commercial insurance guidelines. Researches and resolves pending and unpaid laboratory claims to resolution.
Key responsibilities include:
- Accurately interpreting remittance advices regarding payments, adjustments, and patient responsibility to ensure billing accuracy
- Reviewing EFTs and insurance payments to ensure money is posted to the correct system
- Entering patient, insurance, and claim information into billing systems
- Working assigned billing queues and gathering missing or incomplete billing information as needed
- Researching and resolving claim denials, short payments, overpayments, recoupments, and refund requests
- Answering incoming calls from patients, clients, and payers regarding outstanding bills, invoices, claims, and other inquiries
- Taking patient and client payments over the phone when applicable and following up when additional research is needed
- Handling daily and payment reconciliation tasks, incoming mail, and correspondence
- Participating in training as needed
Requirements & Qualifications
Qualifications
- High school diploma
- Minimum of 1 year of insurance billing experience required; 4 years preferred
- Working knowledge of medical billing practices such as contractual adjustments and cash posting preferred
- Ability to independently resolve problems on the phone with clients, patients, and internal departments
- Working knowledge of Epic desirable
- Training expertise and experience preferred
Benefits & Perks
Benefits
- Medical insurance
- Vision insurance
- Dental insurance
- 401(k)
- Paid paternity leave
- Paid maternity leave
- Disability insurance
Location
Milwaukee, Wisconsin, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago
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