Medical-Pathology Accounts Receivable Coordinator

Job Description

Job Description

Description:

Join our Team at Diligent Billing and Management  

Would you like to be a part of a supportive team? Are you ready to advance your career?

Does the flexibility of a hybrid work environment, where you will get the opportunity to avoid traffic, save on gas, and working from the comfort of your home excite you?

Do you possess the unique skill and experience of having worked in Billing for Pathology or Multispecialty Group that included some aspects of Pathology? If yes, we are looking for you!

We are seeking a full-time Pathology Accounts Receivable Coordinator to add to our team! We're open to local and remote candidates. The work hours are flexible as long as they fall within 7am-6pm EST, Monday-Friday. Diligent offers a lot of flexibility and great benefits! 

Primary Responsibilities

The Pathology Accounts Receivable Coordinator is responsible for being the subject matter expert of specific payers staying up to date on their claims process and coding requirements. The Accounts Receivable Coordinator will also be responsible for working assigned denials, clearinghouse errors and edits and other special projects as assigned. 

Essential Functions

• Review and resolve outstanding or pending insurance claims and account balances directly with payer; frequent follow up with payers using telephone, fax, email, and specific payer websites.
• Resolve claim rejections in Realmed/Availity.
• Process insurance correspondence as assigned.
• Research any credit balances and if appropriate, send to refund department for processing.
• Update and track payer guidelines to educate company on any changes.
• Assist Patient Services with any statement request, itemized bills  or other research as needed.
• Maintain company production and QA standards.
• Perform other related duties as assigned.

Our Benefits Package currently includes, but not limited to: -

Medical Insurance

Dental Insurance

Vision Insurance

Company Paid Life Insurance

Company Paid Disability Insurance,

401k Plan

Generous PTO

Employee Assistance

  Educational/Training Requirements

• High school Diploma or equivalent

Experience Requirements

• 2+ years of experience in medical insurance coordination/collections, specifically in the area of Pathology
• Moderate understanding of the billing and collections processes, including the HCFA 1500 and UB4 
• Strong knowledge of insurance payers (including Medicare/Medicaid) and interpretation of insurance explanation of benefits (EOBs) 
• Strong knowledge of medical terminology, particularly pathology 
• Proven knowledge of CPT4, ICD10 and HCPCS coding 
• Strong hospital knowledge is a plus
• NextGen Practice Management experience is a plus
• Availity/Realmed or similar system experience is a plus

Skills and Abilities

• Ability to multi-task.
• Detail oriented with excellent verbal and written communication skills.
• Must be proficient in MS Word and Excel.
• Must be self-sufficient and able to work independently in a remote environment.
• Must be willing to help others and be a team player.
• Ability to interpret insurance explanation of benefits.

Work Environment

Physical demands and work environment: The physical demands and work environment described here are representative of those that must be met by the employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

• Long periods of sitting at a work station
• Frequent periods of standing and/or walking
• Frequent repetitive motions
• Occasionally able to lift or move up to 10 lbs.
• The noise level in the work environment is usually moderate

Diligent Billing and Management LLC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, sexual orientation, gender identity, or any other characteristics required by law.