Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on claim processing and insurance follow-up
- Participate in ongoing education to stay current with changes in the healthcare industry
- Regular meetings with leadership for guidance and support

What to Expect (Job Responsibilities):
- Follow up on denied claims and overdue insurance balances in a timely manner
- Submit appeals related to discrepancies in allowed amounts and notify supervisors of consistent problems
- Monitor and respond to payer correspondence and field communication inquiries
- Utilize aged accounts receivable reports to inquire about unpaid insurance claims older than 45 days
- Maintain detailed knowledge of practice management software related to job functions

What is Required (Qualifications):
- High school diploma or GED equivalent
- Minimum of eighteen months of previous medical billing and collections experience
- Comfortable using email and interacting with Internet applications
- Knowledge of practice management and Microsoft processing software
- Strong written and verbal communication skills

How to Stand Out (Preferred Qualifications):
- College education or trade school experience
- Proven understanding of Explanation of Benefits forms and the insurance billing process
- Working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement
- Basic knowledge of CPT and ICD-10 coding

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