Medical Billing Representative

SOUTHWESTERN AND AFFILIATES • Evansville, IN

2d • Onsite

About The Position

Southwestern Healthcare is currently seeking a Full-Time Medical Billing Representative to add to our team. This position works on-site at our Evansville downtown office during regular business hours of Monday – Friday, 8AM – 5PM.

Requirements

• High School Diploma or GED
• Two years of experience in a medical billing or patient account setting preferred but not required.
• Excellent communication, time management, and organizational skills a plus.
• Candidates must pass required background checks including county/state checks, CPS check, sex offender registry check, and drug screen.

Responsibilities

• Review aging reports across multiple payers.
• Billing and account activities that will maximize reimbursement and promote prompt payment.
• Resolves routine patient billing inquiries and problems.
• Follows up on balances past due from insurance companies and patients.
• Reads and interprets transactional data within patient accounts.
• Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the practice management system (PMS) and EDI systems.
• Understands and resolves payer edits and/or rejections.
• Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPAA regulations.
• Performs extensive account follow up activities utilizing the PMS.
• Investigates, analyzes and resolves problematic and delinquent accounts.
• Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews.
• Performs electronic eligibility confirmation when applicable and documents results.

Benefits

• Affordable Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment!
• 401K Employer Contribution & Match
• Student Loan Assistance Program
• Physical & Financial Wellness Programs
• Generous Paid Time Off Plan
• Competitive Total Compensation Program
• On-site training available for qualified candidates

What This Job Offers

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