Medical Billing

Works directly with the insurance company, healthcare provider, and possibly the patient to get a claim processed and paid. Required to review and appeal all unpaid and denied claims. We use Advanced MD, Clinix and MOD MED/EMA PM systems.

Essential Functions

•  Review, revise, and re-process every outstanding claim on aging report
•  Monthly quota of 1,200 claims
•  All reports must be worked by months’ end
•  All correspondence must be worked daily • Interface with providers, insurance companies and patients as needed.
•  Knowledge of Medicare, managed care and commercial insurances.
•  Maintain assigned AR over 90 day percentage as defined by the AR Supervisor
• Track and identify major trends with various insurance Carriers • Report recurrent problems to A/R supervisor
• Collaborate with doctor’s office staff for required information to process or appeal claims
•  Document account ledgers to include calls made, faxes completed, corrected claims sent, and accounts turned to patient responsibility
•  Reduce claims in the over 90-day categories
• Regular reliable attendance Competencies
• Able to act independently in productivity-based environment
• Strong interpersonal and communications skills to work successfully in a teamoriented environment
• Give focused attention to detail
• Able to prioritize workload and move readily from task to task

Required experience:

• Medical Accounts Receivable - must have at least 2 years’ experience to be considered for this position.
• Knowledge of CPT and ICD-10 coding