Billing Collection Representative: Denials

Akron Children's Center • Akron, OH

246d

About The Position

The Billing Collections Rep is responsible for resolving unpaid insurance accounts by contacting insurance companies through various means to solicit payment for applicable patient encounters. This position requires the applicant to reside in Ohio or Pennsylvania at the time of the offer. The role is full-time, requiring 40 hours per week from 8 a.m. to 4:30 p.m. and is remote.

Requirements

• Experience in processing and billing physician claims is required.
• Experience in the technical aspects of billing and collections required, including CPT and ICD coding knowledge, understanding payer remittance coding/process and outcomes analysis/reporting.
• Experience working with applicable management team members and clinic staff required.
• Proficiency in the management of CMS formatted claims required.
• Proficiency in MS Office (Outlook, Excel, Word).

Nice To Haves

• Epic experience is preferred.
• Bachelor's Degree is preferred.
• Medical Billing Certificate is preferred.

Responsibilities

• Develops positive relationships with payer representatives in order to collect accounts timely.
• Investigates pended claims to determine why claims were pended and resolve reasons for the pended scenario.
• Identifies and resolves trends with pended claims, which includes appeals for untimely claim submission and resolving provider credentialing issues.
• Accurately posts resolutions to accounts including updating and billing insurance and correct and repost.
• Establishes and maintains provider manuals for assigned insurance carriers and subsequent plans.
• Monitors physician's enrollment to not exceed timely filing requirements.
• Other duties as required.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Social Assistance
• Education Level: High school or GED