Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
High school diploma or equivalent
1+ years of customer service or related experience
Working knowledge of Microsoft Office, particularly Word, Excel, and Outlook
Excellent communication skills and the ability to practice proper phone and email etiquette
Ability to read, understand, and follow oral and written instructions
Familiar with medical terminology and insurances HCPC/ICD-9 codes
Provide feedback to Group Team Lead, Supervisor, and Manager regarding issues regarding accounts
Conducts routine tasks as directed; works under clearly defined guidelines
Contributes to specific objectives and outcomes as directed
Responsibilities
Answers questions from customers, clerical staff, and insurance companies
Identifies and resolves patient billing complaints
Handles customer collection calls
Documents activities in ERP system in an efficient, accurate, and timely manner
Ensures the billing activity is handled correctly
Ability to evaluate and secure the needed Rx’s, PA’s, and medical justification to facilitate payment of claims for initial and review/appeals payments
Ability to edit and resubmit claims for payment
Prepares and reviews clean claims for submission to various insurances either electronically or by paper