Primary Responsibilities:
- Review and verify accuracy of submitted claims and bills.
- Ensure timely submission of claims to insurance companies.
- Follow up on unpaid claims within the standard billing cycle timeframe.
- Maintain client billing records and respond to billing inquiries.
- Process payments from insurance companies and patients.
- Update client charts with relevant information, including insurance changes and payment details.
- Understands and analyzes monthly reports.
- Utilize database and spreadsheet software for the preparation of detailed financial analysis and/or account receivables issues.
- Enters information necessary for insurance claims such as the insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensure claim information is complete and accurate.
- Follow up with the provider on any documentation that is insufficient or unclear.
- Submits insurance claims to clearinghouse or individual insurance companies electronically in a timely manner.
- Answer client questions on patient responsible portions, copays, deductibles, write-offs, etc. Resolves patient complaints or explains why certain services are not covered.
- May perform “soft” collections for patient past due accounts. This may include contacting and notifying patients via phone or e-mail.
- For patients with coverage by more than one insurer, prepares and submit secondary claims that do not crossover upon processing by the primary insurer.
- Follows HIPAA guidelines in handling client information.
- Understands managed care authorizations and limits to coverage such as the number of visits.
- Ability to look up DSM-5 diagnosis and CPT treatment codes from online services or using traditional coding references.
- Perform other job-related duties as assigned.
Qualifications:
- Must have working knowledge of ICD-9 and DSM-V codes
- Working knowledge and comprehension of EOB’s (Explanation of Benefits)
- Strong understanding of medical terminology and procedures
- Experience in collection, billing, and coding
- Must be proficient with Simple Practice EHR
- Excellent communication and interpersonal skills
- Attention to detail and accuracy in data entry
Schedule:
- Monday to Friday
- 9:00 am to 5:00 pm (Monday-Friday)
Work Location:
- Riverdale, GA 30296 (Required)
Job Types: Full-time, Part-time, Contract
Pay: $18.50 - $21.00 per hour
Expected hours: 35 – 40 per week
Benefits:
- 401(k)
- Employee assistance program
- Paid time off
Schedule:
- Day shift
- Monday to Friday
Work setting:
Experience:
- Billing: 2 years (Required)
Work Location: In person