RCM Billing Specialist

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Prepare, review, and submit clean, error-free claims to insurance payers. Follow up on denied or rejected claims to secure reimbursement. Process claims showing amounts billed to insurance companies and to patient and miscellaneous adjustments. Talk with patients about their Slocum clinic or ASC medical bill, via phone, in person or patient portal. Manage patient accounts, calculate intake costs, and arrange payment options. Answer patient questions regarding their Slocum statements in person, via phone or patient portal. Refund over payment of claims either to the patient or the insurance company. Compute total bills showing amounts billed to insurance company and to patient. Verify patients coverage via website or telephone and to obtain information concerning extent of benefits. Telephone, write or message via website companies with unpaid insurance claims to obtain settlement of claim. Verify OHP Line Finder Code. Work denied insurance claims via letter, website or call Manage the private insurance A/R. Create estimates via Experian as well as manually as needed. Communicate cross-functionally with providers and other Slocum departments regarding patient questions or billing concerns