Medical Billing Representative
SOUTHWESTERN AND AFFILIATES
Medical Billing Representative Spear - Healthcare - Evansville, IN 47713 Overview Position Type Full Time Job Shift First Shift - Days Education Level High School Travel Percentage None Category Admin - Clerical Job Description Southwestern Healthcare is currently seeking a Full-Time Medical Billing Representative to add to our team. This position works on-site at our Evansville downtown office during regular business hours of Monday Friday, 8AM 5PM. WHY WORK FOR SOUTHWESTERN? Affordable Health, Dental, Vision, and Voluntary Life Insurance that starts day ONE of employment! 401K Employer Contribution & Match Student Loan Assistance Program Physical & Financial Wellness Programs Generous Paid Time Off Plan Competitive Total Compensation Program On-site training available for qualified candidates We are GROWING!! WHAT IS THIS POSITION RESPONSIBLE FOR? Review aging reports across multiple payers. Billing and account activities that will maximize reimbursement and promote prompt payment. Resolves routine patient billing inquiries and problems. Follows up on balances past due from insurance companies and patients. Reads and interprets transactional data within patient accounts. Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the practice management system (PMS) and EDI systems. Understands and resolves payer edits and/or rejections. Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPAA regulations. Performs extensive account follow up activities utilizing the PMS. Investigates, analyzes and resolves problematic and delinquent accounts. Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews. Performs electronic eligibility confirmation when applicable and documents results. Job Qualifications WHAT'S REQUIRED FOR THIS POSITION? Applicants must have a High School Diploma or GED. Two years of experience in a medical billing or patient account setting preferred but not required. Excellent communication, time management, and organizational skills a plus. Candidates must pass required background checks including county/state checks, CPS check, sex offender registry check, and drug screen. If you are interested in joining a fun, friendly, innovative team, apply today! EOE/AA including Veterans and Disabled If you are a person with a disability needing assistance with the application process, please call View phone number on click.appcast.io.
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