Responsible for auditing medical, dental, and behavioral health claims for accuracy and timely electronic submission through the practice management system. This role also supports collections of outstanding claims and maintains accurate accounts receivable records for the organization.
Key responsibilities include claim preparation and submission, posting payments and adjustments, monitoring aging reports, resolving billing issues, appealing denied claims, and helping improve the accounts receivable process.
Requirements & Qualifications
Qualifications
- High school graduate or equivalent
- 3 years of work experience in a medical office environment, including Medicaid, Medicare, managed care organizations, and other third-party payer claims submission and appeals
- Federally Qualified Health Center (FQHC) experience preferred
- Experience with medical and dental terminology and procedural/diagnostic coding, including ICD, CPT, CDT, and HCPCS
- Knowledge of HIPAA and patient confidentiality requirements
- Strong oral and written communication skills
- Ability to professionally interact with the public and all levels of the organization
- Ability to manage multiple projects simultaneously
- Ability to operate a computer, copier, fax, and 10-key machine
- Proficiency with practice management systems and Microsoft Office applications
- Basic accounting knowledge
- Bilingual in Spanish
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
10 months ago
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