Job Description

Description
ESSENTIAL FUNCTIONS:
Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections.
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
Verifies receipt of claim with insurance plans, determining the next appropriate action step.
Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients.
Assists patients and family members with billing and account questions including following up with insurance companies and internal departments as needed.
Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement from insurance payers.
Assumes full responsibility of reducing the accounts receivable of insurance balances by working through outstanding accounts.
Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
Communicates with insurance and collection agencies. Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
Identifies and communicates trends and/or potential issues to Billing Supervisor.
Follows and maintains all LOS policies and procedures, including those specific to billing.
Maintains account receivables, identifying potential problems through registration, charge corrections, duplicate accounts and refunds.
Has an understanding of accounts receivable posting process for medical billing including: charges, payments and adjustments.
The job holder must demonstrate current competencies for job position.
Requirements
EDUCATION:
High school diploma or GED.
Experience
Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients and the public and capable of establishing good working relationships with both internal and external customers.
Requirements
None.
Knowledge
Knowledge of the physician billing processes, ICD-10 and CPT coding.
Knowledge of computer systems.
Advanced computer knowledge, including Window based programs.
Skills
Skill in customer service and an understanding of LOS’ code of conduct.
Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook.
Skill in establishing good working relationships with both internal and external customers.
Abilities
Ability to multi task in a fast- paced environment. Must be detailed oriented with strong organizational skills.
Ability to understand patient demographic information and determine insurance eligibility.
Ability to work independently and demonstrate the ability to analyze data.
Environmental/Working Conditions
Normal office environment.
Physical/Mental Demands
Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard.

Job Tags

Work at office,

Similar Jobs

Set of X

Network Engineer Job at Set of X

...of X team is building an elite group of engineers with a strong sense of shared... ...of, and providing recommendations on, networks or network service design, maintenance,... ...managing operational matters and mentoring entry level engineers in all aspects of networking...

Fabrinet West

Test Operator (flying probe) - graveyard shift Job at Fabrinet West

Job Purpose: Organize and responsible for a variety of quality engineering functions related to improve quality and reduce cost through quality assurance on the quality of conformance to reduce scrap, rework, internal supplier material and customer's complaints. Customer...

Marriott

Housekeeper Job at Marriott

...Job Number** 25098038**Job Category** Housekeeping & Laundry**Location** The St. Regis San... ...or G.E.D. equivalent.Related Work Experience: No related work experience.Supervisory... ...glamour with a vanguard spirit, St. Regis Hotels & Resorts is committed to delivering...

One World Global Services

Spanish US-Based Interpreter Job at One World Global Services

...WE ARE HIRING EXPERIENCED INTERPRETERS!! LANGUAGE: SPANISH Requirements: ~90% English proficiency~ Steady wired internet connection... ...leader. YOUR BACKGROUND AND EXPERIENCE: ~ Proficiency/Bilingual/Native level of English and target language. ~1+ years of...

D&N Nanny Village Village LLC

Nannies Job at D&N Nanny Village Village LLC

...great benefits, including free early access to your pay through Home base. Sign on Bonus Healthcare benefits Flexible schedule Responsibilities Nanny children from ages: Newborn -school ages. Prepare and administer meals as needed. Maintain a...

Billing Representative Job at Louisiana Orthopaedic Specialists, Lafayette, LA

RVVxV3lyVWUxQVNQcjc5MWZab1cxTDJIL1E9PQ==