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• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
• 401K program (Discretionary matching funds available)
• Employee Assistance Program
• Referral Program
• Dental plans & Vision plans
• GENEROUS Personal time off
• Eight Paid Holidays per year
• Quarterly incentive plans
• Employee of the month awards with monetary gift and parking space
• Training Programs
• Fitness Center with personal trainer on site
• Wellness programs
• Flexible work schedule

JOB DESCRIPTION OVERVIEW:

Position is responsible for reviewing unpaid invoices assigned in ETM System on all carriers. Maintains accuracy and production to ensure invoices are being processed effectively.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Reviews ETM worklist to identify potential problem areas.
• Contacts appropriate carriers to inquire on unpaid claims via websites and/or phone calls.
• Reviews AR trends to report any consistent errors identified that affect claims from being processed correctly.
• Maintain knowledge of ETM system.
• Participates in monthly meeting with No Response/Billing Supervisor.
• Communicates with No Response/Billing Supervisor for unusual circumstances that may include adjustments, denials, fee schedules, claims, etc.
• Performs any and all duties as directed by Senior Representative, No Response/Billing Supervisor and Accounts Receivable Manager.

QUALIFICATIONS / EXPERIENCE:

• High school diploma or equivalent required.
• Minimum two years previous medical billing experience preferred with emphasis on research and claim denials in Accounts Receivable.
• Demonstrated knowledge of physician billing and health care reimbursement; Medicare and Medicaid preferred.
• Knowledge of ICD-10 and CPT-4 coding.
• Excellent oral and written communication.
• Must be computer literate; Microsoft Office preferred.
• Excellent follow-up skills.
• Excellent organizational skills.

SUPERVISORY RESPONSIBILITIES:

• None

PHYSICAL / ENVIRONMENTAL DEMANDS:

This job will be performed in a well-lighted and well-vented environment. Work is oriented around good visual skills. Eye fatigue may be encountered as extended amount of time is spent in front of computer display terminal.

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week. Overtime may be required and can be mandated by Management.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

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