Job Summary
This position provides support for recovering back-end revenue by ensuring timely and accurate processing of patient accounts to both third-party payors and patients/guarantors.
Job Responsibilities
- Promote and maintain a professional and positive patient and family experience as the last impression of the organization.
- Claims Processing: Resolve front-end claim edits to ensure accurate and timely clean claim submission to third-party payors for adjudication.
- Account Follow-Up: Follow up on outstanding patient accounts to clarify reasons for delayed and/or delinquent processing and resolve technical denials to ensure accurate and timely processing in order to reconcile outstanding balances.
- Perform additional responsibilities related to various revenue cycle functions as assigned by the Revenue Cycle Practice Manager, Team Goals, and Organizational job performance standards.
Required Skills & Experience
- Two plus (2) years of medical billing or coding experience that includes exposure to payors.
- Experience in DME Billing.
- Knowledge and understanding of medical terminology.
- Familiarity with commercial insurance carriers and standard insurance forms.
- Strong computer skills, including knowledge of Microsoft Office (Word, Excel, Outlook).
- Demonstrated strength in customer service, organization, attention to detail, and the ability to work independently.
- Ability to work and problem-solve collaboratively within the department and organization.
- Ability to multi-task and respond quickly to reprioritize changing needs.
Preferred Skills & Experience
- One (1) to three (3) years of experience in customer service, administrative, or healthcare settings.
Schedule
7:00 am - 4:30 pm, Monday to Friday.