Billing, Current Procedural Terminology (CPT), File Maintenance, Health Insurance, Healthcare Common Procedure Coding System (HCPCS), ICD-10, Insurance, Insurance Claims, Interpersonal Skills, Office Equipment, Organizational Skills, PC (Personal Computer) Systems, Patient Care Denials, Payment Posting, Provider Credentialing, Record Keeping, Team Player, Telephone Skills
Position Summary: Responsible for medical insurance company and patient payment posting, and follow-up of insurance claims and denials.
Role and Responsibilities:
- Reviewing medical claims outstanding over 90 days.
- Researching within NextGen for reason claim was not paid.
- Clear credit balances for patient and insurance companies.
- Support Charge Entry Clerk and Electronic Billing, mail, daily deposits, front desk money bags, provider credentialing with insurance companies.
- Post insurance and patient payments.
- Performs other duties as assigned or requested.
- Regular and predictable attendance.
- Ability to cooperate and work well with others.
- Attend monthly staff meetings.
- Complete annual trainings.
Review Policies and Procedures that pertain to Job Annually
Qualifications and Education Requirements
- High school diploma or equivalent.
- Experience working with insurance payment posting.
- Experience posting medical claims using ICD 10 codes, CPT codes, and HCPCS codes
Preferred Skills
- Knowledge of modern office equipment
- Interpersonal/ human relations skills
- Organizational skills
- Telephone etiquette skills
- Ability to maintain records and files
- Ability to operate personal computer
- Ability to maintain confidentiality
- Ability to exert physical effort maintaining and distributing files
C
CHOTA COMMUNITY HEALTH SERVICES INC