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*This is a Non-Exempt position. Employees in this position are paid an hourly pay rate, on a bi-weekly basis, and are eligible to receive overtime pay for any hours worked over 40 in a work week.

JOB DESCRIPTION: Responsible for assigned billing and accounts receivable functions of detailed, medium complexity; including but not limited to insurance follow up, claims processing of unbilled inventory, patient registration and insurance verification, pre-certifications, specialty accounts (i.e. Worker¿s Comp, Litigation, MVA), and related front-end edits. Ensures timely adjudication and resolution of medical insurance claims filed with payers to maximize reimbursement of claims. Utilizes intermediate problem-solving skills to resolve outstanding accounts receivables. Duties: Verifies and updates patient demographics and registration information on accounts. Submit claims electronically as required. Utilize payer portals to status claims; follow through to adjudication. Works independently to resolve issues, applying root cause analyses to determine steps required for timely resolution. Maintain knowledge of current governmental and third party payers billing guidelines and knowledge of insurance plans and contracts. Demonstrate the ability to effectively navigate various systems, programs and electronic medical records. Demonstrated knowledge of medical terminology. The ability to communicate effectively and professionally in interactions with customers, management and peers. Must be able to work collaboratively and positively within a culturally diverse production environment. Proficiency in healthcare insurance billing, reimbursement and coding guidelines. Perform other duties as required in support of departmental goal achievements. Proficiency with Microsoft Office.
MINIMUM QUALIFICATIONS: A high school diploma or equivalent of 2 years of billing and collections experience in a healthcare or insurance environment or 2 years college/technical school and 1 year progressive experience. Preferred Qualifications: Knowledge of GE Centricity Business Practice Management System, and related modules. Knowledge of EPIC EeMR. Strong analytic skills. Proficiency with Microsoft Office.

The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.


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