Medical Billing Specialist (Athena - US Based Client)
Medical Billing Specialist (Athena - US Based Client)
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Work Set-Up: 2-4 weeks onsite training and then transition to fully remote/wfh.
Duties and Responsibilities:
- Work Hold Buckets
- Make corrections to the following:
- Provider information
- Patient insurance discrepancies
- Credentialing information
- Patient demographics
- Other issues as requested
- Provide the following:
- Additional documentation requested
- Missing referral/authorizations
- Make corrections to the following:
- Work Manager Hold Buckets
- Provide additional documentation requested
- Address patient insurance issues including:
- Medical policy
- Benefits coverage
- Coordination of benefits
- Other
- Respond to questions regarding coding clarification
- Work Charge Entry for Office and Procedures
- Review claims to optimize coding and ensure all procedures tests etc. were billed
- Enter charges by the end of the business day following providers closing encounter
- Double check schedule with charge entry to identify any missing slips
- Review Insurance Refunds Worklist
- Review and confirm insurance refunds before presenting to the practice
- Ensure refunds are properly handled
- Review Patient Refund Worklist
- Review and confirm patient refunds before presenting to practice
- Coordinate payment with practice manager and/or physician(s)
- Work Unpostables
- Gather EOBs scan and upload into Athena
- Gather EOBs scan and upload into Athena
- Review Collections Worklist
- Review collections weekly
- Follow strict protocol regarding patient letters and phone calls regarding payment
- Call patients requesting payment in-full or work-out payment arrangements
- Send patients ready for collections directly to practice or collection agency
- Review Claim Attachment Error Queue
- Review and correct claim attachment errors
- Review claim attachment faxes that Athena did not associate with a claim
- Review Zero Pay Report
- Review for underpayment
- Initiate corrections
- Review and provide Practice Reports monthly or upon request
- Run A/R Aging Wizard
- Denial Report
- Run Activity Wizard
- Present reports with recommendations for improvement as needed
Skills Requirements:
- Excellent communication skills both oral and written
- Ability to organize and prioritize multiple deliverables
- Ability to work and think independently
- Attention to detail and strong emphasis on quality
- Ability to research and problem solve
- Ability to work collaboratively within the department
- Ability to work with multiple screens and/or systems to maintain productivity standards
Job Requirements:
- Bachelors Degree of any related field
- 2 years of medical billing experience (pain management specialty required).
- Proficiency with Athenahealth (Athena) billing platform is required.
- Strong knowledge of CPT ICD-10 and HCPCS coding for pain management services.
- Experience with commercial Medicare and Medicaid billing processes.
- Excellent communication problem-solving and organizational skills.
- Ability to work independently and meet deadlines in a fast-paced environment.
WHY INTELASSIST
We grow together. We value your effort. We aim to empower you.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
