Billing Specialist - A​/R

overview

experienced medical biller/ar specialist also needed to pre-cert radiology and radiation claims - needed for a busy specialty clinic. This is a full-time office job in lafayette. Experience required

description of some of the job duties:

• follows up on claim rejections and denials to ensure appropriate reimbursement for our clients
• process assigned ar work lists provided by the manager in a timely manner
• write appeals using established guidelines to resolve claim denials with a goal of one contact resolution
• identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations
• recommend accounts to be written off on adjustment request
• reports address and/or filing rule changes to the manager
• check system for missing payments
• properly notates patient accounts
• review each piece of correspondence to determine specific problems
• research patient accounts
• reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.)
• processes and follows up on appeals. Files appeals on claim denials
• scan correspondence and index to the proper account
• inbound/outbound calls may be required for follow up on accounts
• route client calls to the appropriate rcm
• respond to insurance company claim inquiries
• communicates with insurance companies for status on outstanding claims

full-time

• 401(k)
• 401(k) matching
• dental insurance (day one of employment)
• health insurance (day one of employment)
• paid time off
• vision insurance

day shift, monday to friday

• icd-10: 2+ years (required)