$21.64/hr

Staff is responsible for 3rd party follow-up, for outpatient services including collection follow up of unpaid client copays and deductibles. Staff will contact contracted payor claims departments to establish status of claims. Staff will create and re-submit paper/electronic claims as needed. Staff will work with admin/managers on site in working claim problem reports, & Client Denials (calling insurance and/or writing waivers or appeals); staff will run and work EHR (Profiler) reports including insurance based scrubber reports

1. Reviews contracts and identifies billing or coding issues, submits re-bills, secondary billing, corrected claims, and appeals as needed.
2. Conducts collection activity on previously appealed claims by contacting government agencies, third party payers via phone, email, or online. Once all collection efforts have been exhausted recommend write off of charges.
3. Works problem reports by adding or correcting patient/payor demographic information (non-posted, insurance verification, duplicate claims, daily insurance change, and scrubber reports) notes accounts; identify payor trends; and solve recoupment issues.
4. Reviews all private pay statements prior to sending them out. Manage a call log for incoming client inquiries on statements sent out. Work with clients in putting a payment arrangement in place as needed. Work closely admin/managers on site with any issues as they arise.
5. Maintains compliance with state and billing regulations and ensures billing practices aligns with such regulations.

Additional Responsibilities

1. Attends insurance based meetings and or webinars. Ensures compliance with State and Federal Laws and Regulations for Third Party Payors and other Managed Care Payors.
2. Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and must be able to communicate results.
3. The position requires analysis, organization, and consistent follow-up and the ability to multi task.
4. Other billing related duties as assigned

2-3 years experience in billing/collections experience required Strong Data Entry Skills; Must be able to type 30 40 wpm Must be proficient in Microsoft Office (Word/Excel) Experience in an Electronic Health Record with ability to run reports and perform data analysis Strong Customer Service Skills High School Diploma

Physical Requirements

Must be in relatively good health and be able to perform the duties listed above. Position does require someone who will be working at a desk with a computer and telephone most of the day.