Job DescriptionESSENTIAL FUNCTIONSReviewing claims and chart audits for completion prior toReview for appropriate CPT and ICD10 coding based on insurer requirements and coding guidelines after sending to the Certified Coding Specialist.Review of patient demographics (address, telephone #, guarantor changes, etc.) and insurance (certificate #, new primary or secondary coverage, etc.) for accuracy and completenessReview patient benefits and prepare medical estimates to be mailed to patients prior to surgery. Be prepared to answer patient questions that concern the estimate.Ensure provider information is correctEnsure that claim is completed and submitted within 48-hours after a complete chart audit and fully coded claim is received and implant invoice is attached as appropriateOnce claims have been processed by the insurer, resolve any claim rejections or denialsPosting of all payments received from the insurer(s) you are assignedReview all ERAs by line item to ensure patient balances are correct, the correct contractual adjustments have been done according to contracts, and the claims are in the correct status within the practice management systemPatient accounts containing credit balances need to be applied to outstanding patient balances, or refunded to the insurer or patient based on how the credit was createdRun weekly statements and post all patient balancesAnswer patient Billing questions and setup payment plans as applicableManage the Collections processWork closely with the ASC Scheduler and Administrative Assistant in correcting booking forms, insurance issues, proper consents, implant invoice issues and any other ASC issue that pertains to the billing process.Review and maintenance of the insurance aging analysis for the insurer(s) you are assigned to include running and preparing financial reports for Finance.JOB REQUIREMENTSHigh school diploma or GED requiredCertified Professional Coder preferredOne to three years of accounts receivable experience (preferably in Health Care)Knowledge of accounts receivable practices and medical billing office proceduresKnowledge of insurance reimbursement procedures and practicesAbility to work effectively with co-workers and independentlyAbility to communicate effectively and clearlyMust be able to work quickly and accuratelyAbility to maintain the confidentiality of patient information in accordance with company policy & procedure, and HIPAA regulations.Proficiency in Microsoft Office suite (Word, Excel, Outlook, and PowerPoint) is required as well as the ability to quickly learn and retain knowledge of how to use the electronic medical record.Proficiency with Windows based computer applicationsAbility to work autonomously and collaboratively with team members, including cross coverage to achieve the overall objectives of the department and organizationAbility to demonstrate and uphold InterMed's ValuesSCHEDULEMonday through Friday, 40 hours per weekInterMed is an equal opportunity workplace and prohibits discrimination or harassment of any kind. We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, gender identity and/or expression, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.#J-18808-Ljbffr