10/09/2019
I am looking to fill a position for a Credentialing/Contracting position. The candidate will be responsible for follow up with insurance carriers as well as medical billing and prior authorizations. This position is part time with flexible hours with potential for full time. Send me your resume to be considered for an interview this week - either
Fax to 614-343-2544 or email to hcrevenue.nedia@gmail.com
Job Description:
The Billing Specialist, a key position in the Revenue Cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. The incumbent will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely in order to maximize revenues. Other important duties include credentialing, enrollment processing, submitting appeals to insurance payors to maximize reimbursement and reporting.
β’ Billing and Claims β
Prepares and submits clean claims to third party
payers either electronically or by paper. Maintains relationship with clearinghouse, including appropriate follow-up with support issues.
Coordinate the process of patient eligibility through various third party sources.
Coordinate collection process, to include any projects from ACOM, eClinicalWorks, Chirotouch, and AdvancedMD accounts and tracking current collections in all Practice Management systems.
Manage monthly statement process, to include reviewing statements before mailing and field any patient inquiries the Patient Services staff needs to escalate.
Work with reception staff, ensure appropriate collection of co-pay, spend down and self pay fees.
Handles patient inquiries and answers questions from clerical staff and insurance companies.
Identifies and resolves patient billing problems.
Denial and insurance follow-up management.
Issues adjusted, corrected, and/or rebilled claims to third party payers.
Posts adjustments, transfer of responsibility and refunds, as necessary.
Assure coding is compliant and up to date.
Reviews accounts and makes recommendations to the Controller regarding non collectible accounts. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations to insurances.
Job Requirements: β’ Knowledge of medical billing / collection practices required β’ Strong keyboard skills. β’ Works well in environment with firm deadlines; results oriented. β’ Perform multiple tasks effectively.
Job Types: Full-time, Part-time, Contract