Job Description

EXPERIENCED MEDICAL BILLER - AR SPECIALIST NEEDED FOR A BUSY SPECIALTY CLINIC.
THIS IS A FULL TIME ON SITE JOB IN LAFAYETTE.
EXPERIENCE REQUIRED

DESCRIPTION OF JOB DUTIES:

• Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients
• Process assigned AR work lists provided by the manager in a timely manner
• Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution
• Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations
• Recommend accounts to be written off on Adjustment Request
• Reports address and/or filing rule changes to the manager
• Check system for missing payments
• Properly notates patient accounts
• Review each piece of correspondence to determine specific problems
• Research patient accounts
• Reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.)
• Processes and follows up on appeals. Files appeals on claim denials
• Scan correspondence and index to the proper account
• Inbound/outbound calls may be required for follow up on accounts
• Route client calls to the appropriate RCM
• Respond to insurance company claim inquiries
• Communicates with insurance companies for status on outstanding claims

Job Type: Full-time

Benefits: Medical/Dental and Vision benefits are effective day 1 of employment

• 401(k) - after 90 days of employment
• Paid time off - accrued at day one at 3.08 hours per pay period

Schedule:
Day shift            Monday to Friday

Experience:

• ICD-10: 3 years (Preferred)

Work Location: In person

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