*PhyNet Dermatology has an IMMEDIATE NEED for the top Billing Specialists to join our team! *If that's you, we invite you to apply to today! The A/R Billing Specialist is responsible for all aspects of insurance follow up and collections, including making telephone calls and accessing payer websites.
*Responsibilities:*
* Monitor commercial, government, and specialty payer claims to ensure timely follow up and claims resolution.
* Maintain working knowledge of all payer guidelines and requirements as they relate to denials and appeals.
* Make changes to demographic information as necessary to produce a clean claim.
* Meet or exceed productivity standards in the completion of daily assignments and accurate production.
* Responsible for reviewing and understanding medical records, provider notes, Explanation of Benefits, etc.
for knowledge of appeal or account resolution.
* Facilitates and initiates appeals to insurance companies for claim resolution.
* Handles correspondence requests from payers to ensure all information that is required for claim processing is provided in a timely manner.
* Analyze coding to ensure proper billing of claim.
Experience with claims follow up, denial posting, claim processing, and appeals.
* Adhere to quality and productivity standards assigned by management.
* Ensure statements are generated for the patient responsibility amounts.
* Utilize insurance websites to view and resolve claims.
* Perform extensive account follow-up and provide analysis of problem accounts.
* Document all follow up efforts in a clear and concise manner into the AR system.
* Audit and research accounts, payment and contractual postings, and patient payments to confirm the accuracy of the balance of the account.
* Ability to identify and report payer trends that may provide insight into payment challenges.
Collaborate with management on difficult or reoccurring denials.
* Phone contact with patient, physician office, insurance company, etc.
for additional information to process the claim.
* Ability to assign CPT/ICD-9/10 and HCPCS codes from surgical/progress note.
* Attention to detail with the ability to identify/resolve problems and document the outcome.
* Regular and reliable attendance.
* Strong telephonic communication skills with a pleasant and friendly demeanor.
*Join us if you have:*
* *Denials/follow up experience REQUIRED!*
* Ability to review, comprehend, discuss HCFA billing with Insurance or Government agencies.
* Knowledge of general insurance requirements, working denials, and submitting appeals.
* Experience working directly with EOBs and contractual adjustments.
* General computer knowledge, working with electronic filing.
* Ability to communicate verbally/in writing with professionalism.
* Ability to meet productivity expectations
Job Type: Full-time
Pay: $18.
00 - $22.
00 per hour
Expected hours: 40 per week
Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* 8 hour shift
* Monday to Friday
Work setting:
* Office
Application Question(s):
* Do you have Denials/follow up experience?
Experience:
* Medical billing: 1 year (Required)
* Insurance verification: 1 year (Preferred)
Work Location: In person
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