Physician Billing and Collector- Remote
Job description
JOB DUTIES:
- Be able to process internal medicine as well as multiple specialty types of HCFA 1500 claim types but primarily out of network internal medicine claims
- Ability to work well independently and communicate efficiently and respectfully with patients and insurance representatives.
- Process out of network claim types.
- Work well with collection team.
- Code and Follow up on all claims from charge entry through resolution
- Identify billing errors and denials, by understanding the problem and resubmit corrected claims or take other appropriate action to resolution.
- Negotiate out of network reimbursement, based on determined criteria for max reimbursement.
- Send appeals for: low reimbursement, no authorizations, timely filing, medical necessity etc. with correct documentation.
- Submit paper claims to primary and secondary insurance with correct documentation, ie: operative reports, implant invoices, primary eob’s.
- Adjust claims for correct fee schedule, incorrect payments and patient responsibility.
- Scan work and correspondence daily and maintain clear detailed notes.
EDUCATION/EXPERIENCE REQUIREMENTS
Coding or Billing Certification preferred but not required
Minimum 5 years Billing/Collections experience
Minimum High School Graduate
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