This position supports functions for cooperation with various third-party payers, especially the acquisition of prior authorizations.
Tasks include the application of record keeping principles and practices, maximizing allowable service revenue, performing data entry, communicating with third-party payers, and monitoring, recording, or reviewing documents and clinical information.
*QUALIFICATIONS/DEGREE:*
High school diploma or GED required.
Must possess a working knowledge in the operation of office equipment, especially computers.
Some relevant experience preferred.
Must have good verbal communication skills, a congenial manner, and a professional commitment to confidential record keeping.
*RESPONSIBILITIES:*
1.
Prepares Medicare and Anthem charges for billing by ensuring the charge has correct ‘bill-to’ clearinghouse.
2.
Bills Medicare and Anthem charges by creating an electronic file to upload to the claim clearing house.
3.
Manual bill secondary claims.
4.
Bills Special Contracts, USPO, Bureau of Prison and DCS.
5.
Post payments for Special Contracts and learn the software that is used to bill contracts.
6.
Post Payments for all Special Contracts, Anthem, and Medicare claims.
7.
Works denials for all claims.
8.
Follow up on changes of insurance.
9.
Verify Benefits
10.
Post Payments for Medical Request
11.
Appeals to insurance companies as needed
*QUALIFICATION REQUIREMENTS:*
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed in this description are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Job Types: Full-time, Part-time
Pay: $15.
19 - $19.
71 per hour
Benefits:
* 401(k)
* Dental insurance
* Disability insurance
* Employee assistance program
* Flexible schedule
* Health insurance
* Life insurance
* Paid sick time
* Paid time off
* Vision insurance
Physical setting:
* Office
Schedule:
* 8 hour shift
* Day shift
* Monday to Friday
Education:
* High school or equivalent (Required)
Experience:
* medical billing: 2 years (Required)
Work Location: In person
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