Overview
This is a remote position responsible for effective billing and collections across multiple offices specializing in ENT services. The role involves resolving claim issues by applying knowledge of company policies, medical coding, insurance reimbursement practices, and collection laws.
Responsibilities
- Manage all accounts receivable follow-up including denials, reconsiderations, and appeals
- Accurately enter data into the computer system
- Provide reimbursement assistance to patients while delivering respectful and superior customer service
- Comply with HIPAA guidelines when providing medical records to primary care providers, insurance carriers, referred providers, and patients upon request
- Work independently and collaboratively within a team to achieve set goals
- Ensure timely and accurate filing and billing of all patient transactions including billing, invoices, and insurance claims
- Monitor claim status and follow up with insurance carriers on denials
- Respond to correspondence related to patient accounts
- Post charges, payments, adjustments, and related activities in the electronic health record (EHR); coordinate with providers as needed to ensure proper account and claim adjudication
- Answer phones, take messages, and return calls
- Maintain confidentiality of patient and company information
- Perform other related duties as assigned
Qualifications
Minimum Requirements:
- High School Diploma or equivalent
- Minimum of 3 years recent experience in medical billing and collections
- Experience working remotely
- Familiarity with eClinicalWorks (eCW) billing system preferred
- Understanding of medical claims and coding
- Experience in medical billing and collections within a physician office setting preferred
- Basic math skills and ability to accurately process monetary transactions, including reading and understanding Explanation of Benefits (EOB)
- Experience using office equipment such as multi-functional printer/copier/fax, multi-line phone system, calculator, and postage machine
- Proficient computer skills including data entry and above-average typing speed
- Experience with MS Office and EMR/EPM systems
- Prior experience with ENT specialty is a plus
Location