Medicare Billing and Collections Representative

Chapters Health System

252d

About The Position

It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! The Billing and Collection Representative is responsible for processing and submission of third party claims, denial management, and account resolution.

Requirements

• High School Diploma or GED.
• Minimum of one (1) year of medical billing and collection experience.
• Knowledge of third party billing and state and federal collection regulations preferred.
• Ability to prioritize and multi-task independently with little supervision.
• Must be self-motivated and service oriented.
• Excellent written and verbal communication skills.
• Accurate typing and data entry skills.

Responsibilities

• Prepares and submits accurate billing to third party payors and self-pay invoices.
• Identifies and resolves billing clearinghouse rejections.
• Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with third party payors.
• Analyzes and resolves credit balances.
• Handles incoming and outgoing customer service calls to third party payors, outside providers, and patients/guarantors to resolve and achieve account resolution.
• Processes correspondence.
• Initiates and resolves technical denial appeals.
• Identifies payor denial and cash fluctuation trends and escalates as appropriate.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED