Job Description:

• Research root issue of denial.
• Pursue proper course of appeal or follow up to obtain payment.
• Review account history for continuous follow up.
• Address incoming correspondence.
• Prepare correspondence to insurance companies, patient and/or guarantor, as necessary.
• Contact insurance companies/patient/guarantor to obtain status of outstanding claims and submitted appeals.
• Document claim issue for review.
• Escalate issues and problems to Supervisor as appropriate.
• Performs charge corrections.
• Perform demographic and insurance coverage updates on account and bill new insurance as appropriate.
• Perform other job duties as required.

Requirements:

• High school graduate or GED certificate is required.
• A minimum of 6 months experience in a physician billing or third party payor environment.
• Candidate must demonstrate a strong customer service and patient focused orientation and the ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
• Experience in Epic and or other of electronic billing systems is preferred.
• Knowledge of medical terminology, diagnosis and procedure coding is preferred.
• Previous experience in an academic healthcare setting is preferred.

Benefits:

• Healthcare
• Paid Time off