Maintains productivity and accuracy metrics per department expectations.
Responsible for working claim errors in claims management system ensuring clean claims are submitted timely to insurance carriers.
Reviews insurance rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding rejections.
Correct and identify billing errors and resubmit claims to insurance carriers.
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
Assist in identifies and communicating trends and/or potential issues to management team.
Payer website user access maintenance.
Responsible for system maintenance of Athena master files including referring provider information, accurate insurance plan information and payer enrollments.
Responsible for EDI, ERA and EFT enrollments for all payers.
High school diploma or GED
Minimum two to three years of experience in medical billing. Experienced candidates will have prior experience working claim errors in a claims management system. Prefer candidates with knowledge of ERA/EFT enrollment as well as ANSI formatting.
Requires demonstrated knowledge of revenue cycle applications. Prefer prior experience configuring revenue cycle vendor-supplied software.
Knowledge of ICD-10, HCPS, and CPT codes, medical terminology, and billing practices.
Advanced computer knowledge, including Window based programs.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
...Global Occupier Services is looking for an experienced Senior Cost Estimator for a large, multinational industrial and office Client of ours... ..., experience, and relevant education or training.#LI-AC1#LI-RemoteMake your next move an expert one and join us as we lead the...
Eatons Electrical Engineering Services & Systems division is seeking a Senior Power Systems Controls Engineer to join our industry-leading team. In this role, youll lead the execution of complex projects involving the design, programming, installation, startup, maintenance...
...Join the Plum Market Team Where Passion Meets Opportunity! Plum... ...growing leader in the Grocery, Food & Beverage Retail industry. We... ...apply and discover how you can be part of our team! Why Work at Plum... ...Flexible Scheduling Full-time and part-time positions available...
...Chiropractor Philadelphia PA (NE) Full-Time | $80K$100K + Bonus We are looking for a motivated and compassionate Chiropractor to join our growing practice full-time in Philadelphia, PA. The incoming provider will work between our Northeast Philadelphia and North...
Sigma Rehab seeks a Director of Rehabilitation to lead clinical and operational performance for our rehab programs. You will oversee PT, OT, and SLP services, manage and mentor a multidisciplinary team, ensure regulatory and documentation compliance, and drive quality...