Billing Specialist
Job Description
Job Description
Description :
Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement.
Responsibilities :
- Reporting of carrier performance according to contracted fee schedule
- Denial management
- Good oral and written communication skills
- Effective Problem-solving skills and make independent decisions
- Work effectively in a team environment
- Perform consistent, assertive, efficient and timely follow-up on accounts as determined by Management
- Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements
- Medicare, Medicaid, and / or third party payer experience in dealing with healthcare insurance companies through phone follow-up and letter correspondence during the appeals or denial resolution process
- Corrects billing errors, edits, overlaps, etc., and submit clean claims
- Review payment variances and remittances for resolution in an efficient and timely manner for processing of patient and / or insurance refunds.
- Identify payer issues or trends and update Manager in a timely manner, providing concrete examples for Management to review.
- Other duties as assigned.
Requirements :
- Minimum of a high school diploma, coding and billing courses helpful.
- Additional training in Athena and Trizetto a plus.
- Skill in computer applications
Full time - Monday to Friday
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