Provides telephone customer service in a high-volume environment by responding to patient billing questions and working payer denials and collections on patient accounts.
Responsibilities include:
- Interpreting Explanation of Benefits (EOB) documents and responding to billing questions or requests for information
- Collecting patient balances
- Working insurance denials and managing physician accounts receivable through patient and insurance follow-up
- Providing telephone support to patients and insurance carriers, including high volumes of incoming and outgoing calls
- Handling grievance processes when payment is denied or paid for less than the billed amount
Requirements & Qualifications
- Knowledge of medical billing and collections practices
- Knowledge of medical practices, terminology, and organization services
- Knowledge of traditional insurance plans, HMO/PPO plans, Medicare, Medicaid, and workers' compensation
- Working knowledge of anatomy and physiology and medical terminology
- Knowledge of ICD-10-CM and CPT-4 manuals to research and verify diagnosis and procedure codes
- Knowledge of computerized billing and EMR/EPM systems; Google Workspace and Athena experience is a plus
- Excellent written and verbal communication skills and strong customer relations skills
- High school diploma or equivalent required; some college preferred
- Minimum 1 year of medical billing/collections experience
- Orthopaedic experience preferred
Benefits & Perks
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 months ago
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