Responsible for prompt and accurate submission and follow-up of all third-party claims. Reviews assigned accounts, performs status inquiries and appeals to third-party payers to ensure reimbursement. Reviews assigned accounts, determines appropriate action to resolve outstanding balances, and conducts studies/special projects to resolve outstanding accounts receivable.
Essential functions
- Contact payers regarding outstanding claim status and determine appropriate action for swift resolution of outstanding claims
- Process appeals and claim resubmissions per payer policy and identify trends that may allow for a front-end edit to be put in place to assist with clean claim filing
- Provide assistance to coworkers and support daily departmental functions
- Handle 2nd/3rd level appeals for all payers, ensuring all necessary supporting documentation is included
- Stay current on carrier guidelines, as well as state and federal regulations
Requirements & Qualifications
- High school diploma
- 2 years of experience in physician billing and collections preferred
- CPT and ICD-9 experience
- IDX software preferred
Location
Tampa, Florida, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
From $35,110
Remote work allowed
Yes
Posted
2 months ago