Medical Biller / Insurance follow up

Job Description

Job Description

Benefits :

$18-$21

Competitive Health & Welfare Benefits

Monthly $43 stipend to use toward ancillary benefits

HSA with qualifying HDHP plans with company match

401k plan after 6 months of service with company match (Part-time employees included)

Employee Assistance Program that is available 24 / 7 to provide support

Employee Appreciation Days

Employee Wellness Events

Minimum Qualifications :

• Minimum two to three years of experience in medical billing.
• Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
• HSD / GED

Preferred :

• Knowledge of computer systems. Experience with GE patient management system p
• Knowledge of the physician billing processes, ICD-10, and CPT coding.

Essential Functions

• Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials / rejections.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
• Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
• Obtains and attaches referrals / authorizations to appointments / charges.
• Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
• Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
• Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.
• Identifies and communicates trends and / or potential issues to the management team.
• Follows and maintains all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.

About us :

The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona : The Best of Arizona Businesses!?

• #1 for Orthopedic Practices
• #1 for Healthiest Healthcare Employers
• #3 for Best Healthcare Workplace Culture
• Winner in Best Places to Work