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- Career Growth Opportunities
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment.
- 401K program (Discretionary matching funds available)
- GENEROUS Personal time off
- Eight Paid Holidays per year
- Quarterly incentive plans
- Business casual dress code
- Flexible work schedule
JOB DESCRIPTION OVERVIEW: This position is responsible for reviewing various carrier denials at their assigned Billing Group. Maintains accuracy and production to ensure invoices are being processed efficiently. ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews ETM task list assignment, comments, and rebills claim as necessary.
- Reviews denials to determine appropriate action based on carrier requirements.
- Assembles and forwards appropriate documentation to the senior representative for carrier related issues.
- Reviews carrier provider manuals for billing updates as needed.
- Reports any consistent errors found during review that affect claims from being processed correctly.
- Participates in department meetings with Accounts Receivable Team
- Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
- Performs any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable Manager
EXPERIENCE / SKILLS:
- One-year medical billing experience
- Knowledge of physician billing policies and procedures
- Computer literate
- Ability to work in a fast-paced environment.
- Excellent organizational skills
- Ability to work independently.
EDUCATION:
- High school diploma or equivalent.
WORKING CONDITIONS:
- This job will be performed in a well-lighted and well-vented environment. Requires constant sitting tolerance. Involves extensive computer use.
- Set in a pleasant, high-volume, fast-paced office environment.
- Overtime may be required and can be mandated by Management.