Duties & Responsibilities

• Prepare claims for Secondary/Tertiary billing. Applicants time will be split following up on submitted claims and preparing claims for submission.
• Submit Secondary /Tertiary claims using My Ability, Claim MD, Email, Fax, and USPS mail.
• Determine claim status
• Effectively and efficiently resolve claims that are not paid in a timely manner & those that are short paid
• Effectively submit appeals
• Review EOBs and correspondence from payers in the course of performing account follow-up and escalate any identified issues to the appropriate area for review and response to expedite claim resolution
• Identify problem accounts, provide possible solutions, escalate as appropriate while identifying trends

Minimum Requirements

• HS Diploma or equivalent
• Minimum of 3+ years of hospital insurance collections (required)
• 2+ years of denial management experience (required)
• 2+ years of billing experience (preferred)
• Expert ability to read and interpret EOBs (Explanations of Benefits)
• 10 key data skills

Benefits

• PTO accrual from day one
• Paid holidays
• Life insurance
• 401K
• Competitive pay
• Medical, dental, and vision insurance offered