Duration: 4 Months.
Location:: Largo, FL 33770.
Must have physician billing experience specifically.
· Handles escalated phone calls.
· Works closely with CBO Leadership to identify rejection trends
· Leads projects as assigned by management.
· Assisting Patient with financial and billing related inquiries via telephone
· The daily management of the assigned portion of receivable
· Account resolution including
– Patient and Insurance inquiries
– Patient and Insurance follow-up on denied claims or balances
– Obtain Referrals/Authorizations
– Benefits Verification and Eligibility
– Reprocessing claims for reimbursement
– Assess personal pay balances for collections
– Payment Reconciliation for Insurance and/or Personal Balances
– Provides Financial Counseling on Outstanding Balances
· Meet or exceed collection standards and goals for assigned accounts as stipulated by supervisor, manager, and quarterly goals
· Documents all account activity on account in a clear, accurate, and consistent manner
· Adheres to HIPAA regulations at all times, verifying pertinent information to determine caller identification
· Advise team lead/supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary
Assist other areas of the PFS department when needed, including payment posting, payment processing, and claims submission
· Telephone work: Answer customer calls promptly and process inquiry for majority of requests by end of call. Perform thorough financial assessment to ensure patient has been educated on medical benefits and financial responsibility to the clinic. Gathers required financial information by phone in a professional manner, demonstrating a regard for dignity of all patients and family members. Assists patients with Counseling and Collection of outstanding balances in an assertive, yet courteous manner. Appropriately sets payment arrangements with patients or their representative, scheduling payments on deposits due. Works with Insurance Companies to resolve Billing Issues
· Account Resolution: Follow up on Insurance inquiries, Filing appeals, reprocessing claims, and working denials of assigned portion of receivable. Complete necessary appeals providing missing documents, correcting or editing information on charge, update demographics and financial forms promptly. Utilize available and appropriate online payer system to expedite the claims process. Meets claims reprocessing timeliness, authorization requirements and collections from insurance and patient responsibility by staying proactively involved with accounts from onset to final resolution. Reviewing account for billing accuracies in a timely manner, prior to sending to collections. Obtaining Authorizations and Verifying Benefits and Eligibility.
Assist other areas of PFS Department: Post payments from patients and insurance carries, both manually and electronically when needed. Assist in correcting front end claims processing errors when needed.
Requirements:
Required: High School Diploma or equivalent. Minimum 2 years experience with insurance claims billing and collections, basic procedural and diagnostic coding experience required
Preferred: Practice Management experience with Client Centricity Group Management and EMR. IPA or group practice experience preferred
• Excellent Organizational and Communication Skills.
• Excellent Computer Skills
• Exemplary Customer Service Skills
• Developed Time Management Skills
• Ability to work in an Independent and Team oriented environment
• Ability to work in a fast paced, deadline and goal oriented environment
• Ability to efficiently handle change in flow
• Independently completes Medicare Provider Billing Certificate within first 6 months or provides other billing certification t which includes CBCS, CPAT or CCAT (AAHM).
If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I’d be happy to extend to you if they turn out to be a great fit for my client.
Thank you for your time and for consideration. I look forward to hearing from you.
Best Regards,
Rocky Dcruze
Healthcare Recruiter
Integrated Resources, Inc
IT REHAB CLINICAL NURSING
Inc. 5000 – 2007-2014 (8th Years)
Certified MBE I GSA – Schedule 66 I GSA – Schedule 621I I GSA – Schedule 70
[email protected]
(732) 549-2030 Ext.331
Edison NJ 08817
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