As a Medical Billing/AR Professional you will be primarily responsible resolving denied/underpaid claims and following up with insurances for collecting reimbursements. These position openings require experience working with the various major medical insurances for both in-network and out of network claims;Workers Compensation/No-Fault claims for surgeries and in office procedures. Other responsibilities may include resubmission of claims and other duties as they pertain to medical billing and collections. Experience a

Qualifications

• High school diploma or equivalent; Associate's degree or certification in medical billing and coding preferred
• At least 2 years of experience in medical claims processing or medical billing and coding
• Thorough understanding of medical terminology, ICD-10 and CPT coding
• Strong analytical and problem-solving skills
• Excellent communication and customer service skills
• Ability to work independently and manage multiple tasks and deadlines
• Experience with orthopedic healthcare claims processing is a plus

Required Skills

• Knowledge of Medical Terminology, ICD10, CPT codes and the correct use of modifiers
• Experience with Medicare, Commercial, Worker's Comp and No Fault claims follow up
• Able to handle patient inquiries regarding billing issues, out of network issues, explaining insurance guidelines to patients
• Adheres to HIPAA regulations and guidelines
• Adheres to Billing and Collections guidelines
• Excellent organizational skills with strict attention to detail
• Applicant must have strong denial and insurance follow-up management skills
• Able to accurately read and interpret EOB's
• Working rejections from the clearinghouse to correct errors for resubmissions
• Read and analyze patient records to determine correct codes for billing to insurance provider
• Interpret EOB's for accurate payment was received
• Ensure A/R payments are current and all delinquent accounts are being followed up in a timely fashion
• Timely follow up with payers to ensure timely resolution of outstanding claims