Demo

Billing Specialist

ABHS
Evesham, NJ Full Time
POSTED ON 12/8/2024
AVAILABLE BEFORE 2/3/2025
  • Acts as a liaison between the facility and payment parties.
  • If claims are denied by the third-party payer, the medical billing specialist must investigate the claim verify its information and update the database.
  • Ensure medical records needed for billing purposes are in client’s charts and/or submitted
  • Handle P2P accounts
  • Payment trend analysis
  • Conduct VOB’s
  • Meets agency and billing compliance standards
  • Review and work EOB items that need follow up (patient or insurance carrier level)
  • Review COB needs and work with patients to resolve
  • Handle account balance inquiries
  • Call insurance carriers to have claims reprocessed in accordance with contracts and plan benefits
  • Protects Facility value by keeping collection information confidential
  • Update job knowledge by participating in continuing education opportunities
  • Review billing reports identify areas that need attention
  • Provide supervisor with follow up from billing reports
  • Track all tasks on spreadsheet or other assigned methods
  • Complete Credentialing documentation assigned
  • Complete EFT/ERA Enrollments and Enrollment Forms
  • Bi-weekly supervision

Core Competencies:

  • Communication
  • Customer Service Oriented
  • Dependable & Accountable
  • Innovative
  • Integrity
  • Quality (accuracy)
  • Safety Oriented
  • Self-Development
  • Team Player

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