Billing, Communication Skills, Computer Skills, Credit Processing, Documentation, Insurance, Interpersonal Skills, Medical Records, Patient Care Denials, Patient Confidentiality, Presentation/Verbal Skills, Third-Party Payer, Time Management, Writing Skills
Rocky Mount, North Carolina
Job Responsibilities:
- Initiates timely collection and disposition of unpaid claims including all denials, appeals, and secondary coverage with the appropriate insurance carrier
- Research and resolves underpayments with insurance carrier as per billing contract
- Contacting patients regarding balances, outstanding claims, and assisting with denials if necessary
- Updating patient demographics by utilizing third party payer on-line resources to verify insurance benefits, coordination of benefits, check claim status, and file corrected claims directly with payer if required
- Process all credit balances and refund requests to insurance companies and patients
- Performs contractual adjustments with supporting documentation with administrative approval
- Performs other duties or special projects as assigned by manager
- Maintain confidentiality of all patient privacy and policy information
Required Skills & Abilities:
- Knowledge of insurance and billing. Commercial Insurance Payer Billing Experience Preferred
- Computer proficiency.
- Strong people skills.
- Excellent verbal & written communication skills.
- Posses the ability to work in a constantly changing environment.
- Displays diligence.