Job Description

Job Responsibilities
      
  • Monitors overall medical billing operations, including:
  • Ensuring effective flow of demographic charge and payment information
  • Ensuring accurate claim submission and performing account reconciliations
  • Oversees aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements
  • Track fee schedules and insurance denials in order to ensure fully allowed reimbursement
  • Identifies and implements strategies to improve internal and customer processes
  • Incorporates and executes quality assurance processes related to ensure accurate customer billing activity
  • Reviews and analyzes customer accounts, identifies trends and issues, and recommends solutions
  • Collaborates with other team members to improve overall team environment
  • Provides a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
 
Requirements/Background
  • Bachelor’s degree (B.A.) from four-year college or university desired
  • One to two years related experience and/or training; or equivalent combination of education and experience
  • Knowledge of medical billing, front-office, physician practice management and healthcare business processes