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Position Summary: Performs all functions related to billing and follow up of claims submission. Is responsible for posting all insurance and personal payments to include all carriers. Serves as the primary biller for accounts assigned clinics within the health system. Performs insurance follow up, serves as financial counselor fielding calls regarding patient accounts, assists in researching outstanding balances and credit balances on accounts. Issue refund requests to director, maintain complete accurate systematic financial records and transactions within the system for accounts assigned. Analyzes all insurance denials for possible resubmission and further adjudication of the claim. Accumulates and maintains statistics as requested by management. Other duties as assigned by Director.
Qualifications: High school graduate with a minimum of 2 years of medical office billing or equivalent. Knowledge of excel, word and basic PC knowledge is required. Allscripts or Verdigm software experience preferred. Must possess strong customer service skills, along with organizational and communication skills. Ability to respect confidentiality, willingness to keep current with Medicare, Medicaid and other commercial carriers regulations. Prefer 1 year of experience with electronic claim submission. Ability to evaluate and enforce collection procedures, acting as liaison between organization and collection agency.