Job Description

Key Responsibilities:

• Missing Charges & Edits: Run and manage missing charge reports, edits, and denials lists. Process appeal submissions and ensure timely posting of denials in the billing system.
• Payment Posting: Act as a backup to post all payments in the system as required.
• Accounts Receivable Management: Work daily on Accounts Receivable reports, check claims status, resubmit claims, and write appeal letters for outstanding claims.
• Credit Balance Management: Work with credit balance reports to ensure compliance with government regulations and payer guidelines.
• Claims Analysis: Analyze claims system reports to identify underpayments and ensure proper collections from key carriers. Review billing issues, provide recommendations, and work to resolve discrepancies.
• Payer Knowledge: Maintain up-to-date knowledge of third-party payer requirements, policies, and changes to ensure accurate billing practices.
• Billing System Updates: Ensure that the billing system is updated with current-year rates for accurate billing.

Qualifications:

• Experience: Prior experience in medical billing is required; experience with physician billing is a plus.
• Healthcare Claims: Knowledge of health claims and experience with computerized medical billing systems in a healthcare environment is essential.
• ICD/CPT Coding: Familiarity with ICD and CPT coding.
• Technical Skills: Proficient in Microsoft Office Suite (Excel, Word, etc.) with strong attention to detail.
• Compliance & Accuracy: Strong ability to ensure billing processes comply with regulations and guidelines while maintaining high levels of accuracy.

Hours & Benefits:

• Schedule: Monday to Friday, 8:00 AM – 4:30 PM
• Location: In-office position

Benefits:

• Paid Time Off (PTO)
• Health, Dental, and Vision Insurance
• 401(k) Retirement Plan

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