DEPARTMENT: Billing JOB SUMMARY: Performs accurate data entry to patient accounts and provides support to insurance team. HAZARD EXPOSURE CLASSIFICATION: EDUCATION/EXPERIENCE REQUIREMENTS:
- High school diploma or equivalent required.
- Related computer experience, working knowledge of Microsoft Office, Word, Excel
- Minimum two years' experience in a medical/billing office setting with a strong knowledge of insurance, managed care, Medicare and Medicaid.
- Minimum one year collections experience preferred.
JOB RELATIONSHIPS:
- Reports directly to the Director of Billing.
PHYSICAL REQUIREMENTS:
- Prolonged sitting
- Repetitive hand, wrist and shoulder motion
- Lifting up to 25 lbs. occasionally
- Extensive reading ,writing, talking
EXAMPLE OF WORK PERFORMED The omission of specific statements or descriptions does not preclude management from assigning duties not listed herein if such duties are a logical assignment to the position. ADMINISTRATIVE:
- Responsible for keying patient information into internal information system.
- Analyzes, works, and appeals denials from EOB's and correspondence daily. Flags accounts appropriately.
- Fields patient phone calls.
- Answers patient questions on plan issues if the Patient Account Specialists are not able to resolve issues.
- Runs credit card payments.
- Process refunds to patients and insurance companies.
- Document scanning.
- Monitors and reports immediately to management on any claim submission problems.
- Participates in special projects and/or assignments as requested by Manager /Director.
- Resolve insurance claim denials
PROFESSIONAL:
- Excellent organizational skills and ability to do detailed multi-tasks.
- Ability to deal effectively and professionally with patients as well as outside vendors.
ADCS Clinics LLC participates in equal employment opportunities for all individuals and abides by EEOC and nondiscrimination provisions of all applicable federal, state, and local laws and regulations. All applicants must have authorization to work in the United States. Other details
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