Essential Job Functions
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ï‚·- Evaluate accounts receivable reports to review status and take any appropriate action.
ï‚·- Responsible for contacting insurance companies to dispute payment discrepancies or investigate
- Follow up with Insurance Carriers on outstanding balances and unpaid claims within the standard billing timeframe
ï‚·- Contact attorneys for status updates on outstanding cases
ï‚·- Ensure proper paperwork is accurately submitted timely for all insurance carriers
ï‚· -Negotiate with attorneys for maximum reimbursement.
ï‚·- Ensure timely filing of all appeals
ï‚·- Verify and submit account adjustment requests
ï‚·- Take incoming insurance and attorney calls to resolve issues
ï‚·- Act as a resource for clinics and patients on insurance questions
ï‚·- Ensure proper insurance payments according to plan contracted rates
ï‚·- Maintain a productivity form submitted to the Director weekly
ï‚·- Accountable to quality metrics as determined by the Billing leadership team
Knowledge, Skills & Abilities
ï‚·- Strong organizational and interpersonal skills dealing with a diverse range of people.
ï‚·- Ability to communicate effectively verbally and in writing.
ï‚· -Ability to apply common sense understanding to solve practical problems and deal with a variety of
ï‚·- Knowledge of CPT codes and insurance guidelines
ï‚· -Ability to act with integrity in regard to all matters of confidentiality.
ï‚·- Ability to provide excellent customer service skills
ï‚· -Self-motivated and attention to detail
ï‚· -Capacity to work under pressure
ï‚§ High School diploma or equivalent is required
ï‚§ Minimum 2 years of medical billing experience
ï‚§ Efficiency utilizing Microsoft Office Programs (i.e. Excel, Word, Outlook, etc.)
Main billing office is located in Ahwatukee, however we have many offices all across the valley that employees can work from.