Responsible for billing and collection functions for multiple providers (approximately 45 multi-specialty providers). Ability to review accounts on the practice management system and distinguish between balances and/or credits belonging to managed care vs. the patient. Collects on delinquent insurance and patient balances, works credit balance reports, posts payments and adjustments, files claims and appeals denials with managed care companies. Must possess knowledge of ICD-9, CPT, and HCPCS coding. Data entry must be accurate and efficient. Must maintain thorough knowledge of assigned managed care plan(s). Understand various managed care companies' explanation of benefits and identify and report inconsistencies. Ability to answer multiple phone lines with incoming and outgoing calls from patients and managed care companies. Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with company policies and procedures.
1 year at physician practice or 2 years elsewhere in medical accounting, bookkeeping, or related area
High School or equivalent
Franciscan Missionaries of Our Lady Health System
- 19 months ago - save job