Responsible for completing assigned tasks involved in securing payment from third-party payors and reporting observed trends and issues to management.
Key duties include:
- Handle phone calls and messages related to the designated insurance area.
- Review and process insurance vouchers, rebilling unpaid charges, and making adjustments as needed.
- Process secondary billing as requested by patients or defined by procedure.
- Distribute incoming insurance mail and respond to audits, inquiries, and requests for additional information.
- Correct patient invoices by processing necessary corrections and adjustments.
- Conduct designated insurance reviews to obtain additional payments on claims.
- Analyze front-end and back-end system edits for correct registration, physician productivity, and billing of claims.
- Review claims denied through the clearinghouse and investigate claims in work files and reports.
- Assist with special projects and training as assigned.
- Maintain confidentiality and comply with clinic incident reporting, OSHA, and customer service policies.
Requirements & Qualifications
Education and experience
- High school diploma or GED required.
- Previous experience in a medical billing office required.
Knowledge and skills
- Working knowledge of medical terminology preferred.
- Working knowledge of CPT and ICD-9 coding preferred.
- Computer, typing, and calculator skills required.
- Ability to work independently and as part of a team.
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 months ago