Job description
ReLive Physical Therapy is currently looking for a worker's compensation biller. The position processes worker's compensation claims, works to resolve outstanding, unpaid, unprocessed, and denied claims to ensure compensation is received fully, and in a timely manner. Accesses third-party websites, places outbound phone calls, accepts inbound phone calls, sends and receives facsimiles and sends and receives correspondence with third-party payers and various government agencies for follow-up on non-responsive claims and denials for payments.
Additional Responsibilities
- Reviews, researches and resolves insurance claims, unprocessed third party claims, denials, underpayments and overpayments.
- Verifies accuracy of billing data and corrects errors; resubmits clean claims to payers electronically or via paper claim.
- Works, monitors and manages his/her respective workbaskets including, but not limited to, denials, 60 Day, 90 Day, 120 Day, and 150 Day aging on assigned insurance carrier(s) to get claims paid in a timely manner.
- Works incoming mail and EOBs (Explanation of Benefits) from the insurance carriers and processes claims related correspondence to resolve issues.
- Works EDI transactions, ERA files and rejection reports.
- Contacts payers via phone to help expedite the resolution of claims and payments.
- Accesses web-based applications and internet for claim status and eligibility of services.
- Complies with Patient Accounting quality and productivity standards.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- . Works with employer groups, insurance companies, and patients to resolve unpaid claims.
- Other duties and responsibilities as assigned by supervisor.
Do You Have What It Takes?
A good candidate will bring with them:
- High School diploma or equivalent
- One (1) or more years of insurance claims processing experience or knowledge of insurance claims processing
- One (1) or more years of customer service experience
- Strong written and verbal communication skills
- Ability to establish and maintain cooperative working relationships and the ability to work in teams
- Proficiency in Microsoft Office programs such as Word, Excel and Outlook and data entry skills
An ideal candidate would also have:
- Medical Billing, Revenue Cycle and/or Coding Certification (CRCR, CPC)
- Three (3) years or more years of workers compensation claims
- OWCP EXPERIENCE preferred
Job Types: Part-time, Full-time
Pay: From $19.00 per hour-$22 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
Job Types: Full-time, Part-time
Pay: From $19.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work Location: In person