A/R Billing

Parallel ENT & Allergy•Newark, DE

2d•Onsite

About The Position

The A/R Billing team member manages billing and collections in a medical office, including verifying insurance, submitting claims, following up on unpaid claims, and posting payments. They resolve billing issues, communicate with patients about payment plans, and ensure accurate financial records. The role also involves preparing billing reports and ensuring compliance with insurance policies and coding standards. Strong communication, organization, and proficiency in billing software are key for success.

Requirements

Highschool diploma or GED
Ability to thrive in a fast-paced environment
Excellent customer service and computer skills
Strong verbal and written communication skills
Friendly, personable demeanor
Detail oriented
Must be able to occasionally lift and / or move up to or more than 25 pounds.
Frequent sitting with occasional standing and walking.
Utilization of hand and finger dexterity for computer work and the viewing of a computer screen for the majority of the day.

Nice To Haves

Medical Billing experienced preferred but not required
Preference for specialty medicine billers

Responsibilities

Identify the root cause of insurance denials, send appeals to payors, and take appropriate actions to assure prompt payment.
Process claims through clearinghouse, reviews report, identifies denied claims, research, and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer.
Document follow-up appropriately in the practice management system
Perform collection actions, including third-party appeals and resubmitting claims to third party payers via email/website or written inquiries.
Identify and bill secondary or tertiary insurances. Mail out HCFA with EOB
Reconcile carrier submissions, edits, and rejection reports while working aging reports
Resolve incoming patient calls with excellent customer service skills.
Employ tactfulness in dealing with insurance companies/patients regarding accounts in verbal and written communication, while always professional and courteous.
Identify, verify, and document adjustments according to established policies and procedures.
Reviews payment postings for accuracy and to ensure correct fee schedule
Works with co-workers to resolve payment and billing errors.
Process patient bills/print/mail statements and post refunds
Contacts third party payers to resolve payer issues, expedite claim processing, and maximize medical claim reimbursement.
Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials working directly with the payers
Follow through on claim denials and rejections on timely basis
Other duties as requested or assigned by direct report