Job description

This position would be responsible for the full revenue cycle including intake, benefits investigation, prior authorization, coding, billing, accounts receivable, posting, patient financial assistance, and more.

Responsibilities

• Accurately post insurance payments from mail batches and electronic funds transfers (EFT) from various sources, including websites and ECW EFTs.
• Review and reconcile payment entries to ensure that all payments are accounted for and properly posted.
• Conduct thorough follow-ups on all outstanding insurance claims to ensure timely reimbursement.
• Investigate and appeal underpaid or denied claims by gathering necessary documentation and submitting detailed appeals to insurance companies.
• Handle mail batch rejections by reviewing the reason for rejection, correcting any issues, and resubmitting the claims.
• Track the status of appeals by monitoring the appeal bucket and performing regular follow-ups until the appeal is resolved.
• Assist with coding issues by reviewing and suggesting appropriate corrections to ensure accurate billing and compliance with medical coding standards.
• Respond to patient inquiries, providing clear explanations of benefits and answering insurance-related questions.
• Ensure timely and professional responses to emails and voicemails related to billing inquiries.

Qualifications (Preferred)

• Associate or bachelor's degree in finance, accounting, healthcare administration, or a related field is preferred.
• Certification in medical billing and coding is highly desirable.
• Minimum of 2 years of experience in medical billing, specifically in oncology or a physician practice specialty that included infusion services (rheum, neuro, gastro, immunology, etc).
• Proficiency with medical billing software
• Knowledge of medical terminology and CPT coding.
• Strong analytical skills and attention to detail.
• Excellent communication and customer service skills, with the ability to explain complex billing issues in understandable terms.
• Ability to manage multiple tasks and prioritize work to adhere to deadlines and patient service standards.

Healthcare setting:

• Clinic

Medical specialties:

• Oncology
• Rheumatology
• Gastroenterology
• Nephrology
• Neurology
• Ophthalmology

Job Types: Full-time, Part-time, Contract

Expected hours: 20 – 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to Relocate:

• Dyer, IN: Relocate before starting work (Required)

Work Location: In person