SECONDARY BILLING & FOLLOW-UP REPRESENTATIVE

MedCentris • Hammond, LA

3d • Remote

About The Position

Under the direction of the Assistant Director of Revenue Cycle – Revenue Recovery, the Remote Secondary Billing & Follow Up Specialist is responsible for monitoring billing & claims follow up on all claims and resolutions from participating insurance carriers and working proactively to collect from secondary insurance carriers.

Requirements

• Previous experience Nextgen Meditouch software + Knowledge of insurance Payers, EMR,Claims.
• Demonstrated understanding of medical terminology, Insurance, EMR, & Claims required.
• Knowledge of patient confidentiality and HIPAA regulations.
• Knowledge of CPT, HCPCS, and ICD10 coding required.
• Knowledge of medical billing and collection practices.
• Understands Medicare and Medical Assistance regulations as they apply to job functions.
• Knowledge of working with electronic health records (EHR/EMR) or healthcare related computer systems.
• Establishes and demonstrates competency in accounts receivable systems & associated applications.
• Ability to communicate effectively with insurance carriers, patients, and co-workers.
• Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
• Excellent verbal and auditory skills are required for communicating with internal staff and representatives from external departments & agencies.

Responsibilities

• Responsible for billing 60-65 claims per day.
• Familiar with Medicare, Medicaid & Blue Cross Payers
• Duties include editing claims, billing out claims & following up with secondary payors.
• Performs follow up on all outstanding accounts assigned in accordance with established standards & procedures.
• Assists with chart audits as necessary.
• Reviews & edits any rejections stemming from electronic billing submission, correct & resubmit the claims.
• Researches, responds, and documents insurer and patient correspondence/inquiry notes regarding coding coverage, benefits, and reimbursement on patient accounts.
• Responds to telephone inquiries from patients, insurance carriers and outside agencies in a courteous manner.
• Makes management aware of any issues or changes in the billing system, insurance carriers, and/or networks.
• Send secondary claims to appropriate payers.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed