Posted Jun 26, 2018 1 views
The Accounts Receivable Specialist – Level 1 is responsible for the follow-up on all insurance claims, including resolving unpaid accounts in a timely and efficient manner for one or more geographical areas, while maintaining required quality and productivity standards.
Review, modify, and re-bill rejected/denied claims by assigning appropriate insurance carrier, utilizing the billing address and/or payor prefix. Process Acccounts Receivable items in queues within appropriate timeframes, (e.g. claims status checks, appeals of denied claims). Recode private pay, commercial insurance and HMO claims, assign proper condition codes/ICD-10 codes/procedure codes into the Accounts Receivable Billing System and re-file claims as necessary. Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeal process. Ensure that charges are billable to a particular commercial payor, based on the payor’s criteria, as needed. Resolve payment issues with carriers, (e.g. denials, partial payments, etc). Appeal claims as necessary. Process incoming correspondence, including denials and additional information necessary to release the claim. Follow on patient's billing/statement.
Job Details
Parasol Medical Billing
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