Experience with Medical terms and insurance billing preferred but not required. Hours are 8:30 – 5:00, Monday-Friday. Pay depends on experience
Prepares and submits claims to payers either electronically or by paper
Secures necessary medical documentation required
Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations
Processes daily workflow changes that depending on department may include, eligibility verification, verification of information, payment postings, initiating refunds, resolving and troubleshooting incidents, scanning and indexing of documents, and be a point of contact to provide assistance as needed
Responsible for assuring accounts are set up correctly with the information available is completed timely and accurately
Completes work within authorized time to assure compliance with departmental standards
Keeps updated on all state/federal billing requirements and changes for insurance types within area of responsibility
Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims
Performs miscellaneous job-related duties as requested
Requires use of critical thinking and problem solving to make decisions and adapt to changing priorities
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