Responsible for the daily completion of claim edits, denials, and no-response billing functions to ensure timely follow-up. Handles internal and external questions to resolution and works with both paper and electronic claims as well as client invoice billing.
Key responsibilities include:
- Handling telephone communication with patients, insurance companies, and other clinic or foundation personnel
- Billing, collecting, and submitting insurance and TPA claims according to payer guidelines and established workflows
- Reviewing and processing credit balances from supplied reports
- Working insurance denials through paper and/or electronic work queues
- Monitoring and processing assigned electronic and/or paper claim status, including claim edit and no-response work queues
- Completing assigned goals
Requirements & Qualifications
Experience
- Experience in a healthcare setting or relevant educational coursework
- Preferred: One or more years of government and/or commercial billing and collections experience in a physician or hospital setting
Education
- Required: High school diploma or GED
- Preferred: Certification in medical billing or related coursework; associate degree in Business, Finance, or a related field
Training and Skills
- Basic computer and keyboarding skills
- Preferred: MS Office and advanced phone system experience
- Knowledge of insurance billing and collections guidelines, including payer systems such as FFS
- Experience with Epic
- Effective verbal and written communication skills
- Effective customer service skills
Location
Memphis, Tennessee, US
Employment Type
Not specified
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago
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