General Summary Position is responsible for preparing services
rendered by medical, dental, and mobile clinics for billing multiple entities via electronic
or paper claims. Reviews and resolves current electronic rejected/invalid submissions
for correction. Post adjustment timely and accurately from insurance and
self-pay. Submit all claims to appropriate secondary carrier.
Essential Job Responsibilities:
Prepares and submits clean claims to various insurance companies (both medical and dental) either electronicallyor by paper;
Answers questions from patients and insurance companies;
Helps prepare, review and send patient statements;
Follows and reports status of delinquent accounts;
Makes recommendations to A/R Specialist for delinquent accounts for write offs;
Performs various collection actions correcting and resubmitting claims to third party payers;
Investigates and corrects rejected claims as requested by A/R Specialist;
Helps with billing for Show Me Healthy Women/WISE programs;
Refer patients to A/R Specialist for payment plans;
Helps with Monthly reports;
Helps with training of front desk staff to reduce errors/denials;
Helps with Financial audit;
Helps with credentialing of providers;
Other duties as assigned;
Skills
Excellent knowledge of medical/dental billing practices
Highly Organized
Responsible
Responds to customer service calls in a professional manner
Attention to detail
Ability to maintain strict confidentiality and adhere to all HIPAA guidelines
Knowledge of Microsoft Office Products