Insurance Billing Representative - Flagstaff, AZ
Insurance Billing Representative - Flagstaff, AZ
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Responsible for two aspects of billing collection credit payments and/or reconciliations. Billing responsibilities include manual rebills as well as electronic submission to payers. Followup includes telephone calls to payers and/or patients as well as accessing payer websites and resolving complex accounts with minimal or no assistance necessary.
Responsibilities
* Demonstrates knowledge of when to send a claim to the auditor or coder for corrections.
* Reviews and make corrections to rejected claims and resubmits to payers.
* Open communication on UpdatesCPT codes and ICD10 codes as needed. Works with Billing Manager to maximize revenue potential based for services and providers.
* Enters encounter notes regarding rejections and follow up activities performed to enable others to review claim history on all encounters.
* Performs account adjustments or writeoffs as needed in accordance with the WriteOff policy.
* Handles internal communications with the health centers related to insurance billing and collections.
* Requests medical records from health centers as requested by the contracted insurance plans.
* Corresponds with and assists vendors involved with patient accounts.
* Maintains confidentiality of all department patient and billing matters.
* Completes all company mandatory modules and required job specific training in the specified time frame.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.
Qualifications
Medical/Hospital Billing Preferred
Knowledge UB04 Preferred
Knowledge of Explanation of Benefits (EOB) Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers and competence in using computers and basic software programs.
Required Experience:
Unclear Seniority
Employment Type
Unclear
