Accounts Receivable Claim Status Specialist - PI/WC

Job Description

Job Description

Company Description

COMPANY BACKGROUND

TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers. Medulla provides managed services such as Sales & Marketing, Billing, IT, HR, and Finance to three chiropractic brands, operating under the names of Chiro One, MyoCore, and CORE Health Centers. Medulla is comprised of 830+ employees, with corporate headquarters in Oak Brook, IL and 150+ clinic locations in Illinois, Indiana, Wisconsin, Missouri, Kansas, Kentucky, West Virginia, Texas, Oregon, Washington, and Alaska.

TVG-Medulla is a rapidly growing organization, realizing 30%+ growth year-over-year, through a combination of both organic and acquisitive growth. As the organization continues to expand and enter new markets, it seeks a strong strategic COO to lead the operations function. Our vision is to inspire and empower people in our communities to heal, live and function better.

Job Description

• Submit electronic insurance claims, review electronic reports for errors and correct and resubmit corrected claims, reconsiderations and appeals as necessary.
• Maintain patient ledgers in Platinum Patient Accounting Software to reflect accurate and current balances.
• Investigate and process Explanations of Benefits from insurance companies.
• Review accounts receivable reports on a daily basis; investigate outstanding balances and take the necessary action to facilitate collection of balances due.
• Conduct timely follow-up on unpaid, underpaid, or denied claims via payer portals, phone calls, and written correspondence
• Identify claim issues such as missing documentation, coding errors, eligibility problems, or authorization discrepancies
• Document all follow-up activities and payer responses accurately in the billing system

Qualifications

• 2 years’ experience in insurance billing related field preferred
• Proficiency in Microsoft Office
• Excellent verbal and written communication skills
• Strong analytical skills
• Solution oriented
• Ability to multi-task
• Ability to work both individually and as a team

Additional Information

All your information will be kept confidential according to EEO guidelines.

Disclaimer

All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.