CREDIT ANALYST - HEALTHCARE-PHYSICIAN BILLING

Job description

MediSys Management, LLC/FRR Recovery, Inc offers a robust benefits package, which is designed to help you and your dependents stay healthy, feel secure and maintain a work/life balance. This is just one way we strive to provide employees with a rewarding workplace. As an effort to keep pace with healthcare trends MediSys Management, LLC/FRR Recovery, Inc is committed to providing a comprehensive benefits package to its employees which includes...Medical, Dental, Vision, Flexible Spending Programs, 401K, Paid Holidays, Paid time off, Educational Assistance and many more.

Essential Duties and Responsibilities:

• Reviews and resolves credit balances.
• Identifying coordination of benefit issues, contacting patients and assisting in resolving discrepancies.
• Physician Billing experience.
• Knowledge of Medicare/Medicaid Governmental Benefits and Regulations.
• Strong knowledge of Medical Insurance Coverages.
• Comply with all regulatory agencies.
• Handles all telephone inquiries related to overpayments.
• Reviews and resolves third party correspondence and denials pertaining to refunds and credits.
• Works within specific deadlines.
• Performs other incidental and related duties as required and assigned.

Education and Work Experience:

• High School Diploma or GED.
• Some college preferred.
• Three (3) years healthcare billing/reimbursement or collections experience preferred.

Skills and Knowledge:

• Knowledge of EPIC program, preferred.
• Full knowledge of ICD9/10 and CPT coding.
• Full knowledge of third-party billing (use of modifiers and COB rules).
• Knowledge of HIPPA
• Working knowledge of all insurance and/or government rules regarding payments, credit procedures, claims submittal and appeals processes.
• Ability to prioritize and multi-task with strong organizational and analytical skills.
• Proficient with Microsoft Office (Word and Excel).
• Ability to read and correctly interpret Explanation of Benefits.
• Ability to work efficiently both independently and in a team environment.
• Knowledge and utilization of Third-Party Websites.
• Participation in all educational activities, seminars and webinars.

Physical Requirements:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The work requires the following activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed primarily indoors.
• The employee must occasionally lift and/or move up to 25 pounds.

The Company is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law."

Job Type: Full-time

Pay: From $25.00 per hour

Expected hours: 37.50 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Work Location: In person

Salary : $25