Now in network with Blue Cross Blue Shield and Cigna.

Responsibilities

  • Responsible for the proper and timely processing of multi-specialty claims and payments from state/third-party, payers.
  • Proven ability to identify and analyze claim issues.
  • Continued monitoring and review of open Accounts Receivables, adjustments, refunds, and changes.
  • Promptly respond to denial letters and requests for information.
  • Maintain clear and cohesive notes/documentations/forms related to all open and pending claims being worked. Knowledge of medical terminology, CPT and ICD Coding and billing forms (HCFA).
  • Excellent verbal and written communication skills.
  • Excellent organizational and business office skills.
  • Ability to build and maintain strong relationships with insurance representatives.
  • Ability to work effectively with physicians and other medical staff.
  • Maintain patient and company confidentiality.
  • Other responsibilities as assigned.

Requirements

  • High School Diploma or equivalent
  • 2 years’ experience in medical billing and collections
  • Working knowledge of Practice Plus and/or Nextech is a plus
  • Strong working knowledge of both In and Out of Network claims processing
  • Must be goal and detail-oriented and able to perform successfully in a fast-paced medical environment.
  • Job Type: Full-time

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