JOB DESCRIPTION

Responsibilities:

• Physician Billing experience.
• Knowledge of Medicare/Medicaid Governmental Benefits & Regulations.
• Strong knowledge of Medical Insurance Coverages.
• Submit Primary/Secondary Insurance and follow-up on same.
• Verifying accuracy of patient insurance and demographic information.
• Perform follow up on all outstanding accounts assigned in accordance with established policies and procedures.
• Place Out Bound Calls to Insurance for Status of Outstanding Claims.
• Analyze Remittance/Explanation of Benefits.
• Submit Appeals for Denials and/or Underpayments.
• Determine Patient Responsibility.
• Verify Insurance Coverage, Contact Guarantor Regarding Insurance Discrepancies.
• Strong communication, documentation, follow up, analytical and computer skill sets.
• Familiarity with the Epic System, preferred. Ability to accurately update patient accounts, update insurance information, initiate insurance billing.
• Performs other job related duties, as required and assigned.

Qualifications:

• High School Diploma or General Education Degree (GED).
• 1--2 Years prior Physician Billing experience, including carrier follow up.
• Knowledge of EPIC, preferred.
• Knowledge of HIPAA.
• Excellent written and oral communication skills.
• Computer literate.
• Ability to prioritize and multi-task with strong organizational and analytical skills.
• Ability to work independently on assigned tasks, and accept direction.
• Participation in all educational activities, seminars and webinars.