Billing and Claims Follow-up Specialist

Job description

Eight provider OB-GYN office located in West Omaha has a full-time opening for a Billing and Claims Follow-up Specialist. We offer a competitive salary and an excellent benefits package including medical, vision, dental, life and long-term disability insurance, paid time off and 401(k) Profit Sharing Plan. We close at 1:00 pm on Fridays.

Qualifications:

• Minimum of one year billing and claims experience, OB-GYN experience preferred.
• Experience with CPT and ICD-10 coding.
• Effective communication skills for interacting with patients, co-workers, providers and insurance companies.
• Excellent attention to detail with strong organizational skills.
• Independent problem-solving skills.
• Ability to manage time and meet deadlines.
• Experience with electronic medical records is required.

Responsibilities:

• Accurately code procedures and map diagnosis codes for office and hospital charges.
• Ensure compliance with CPT, ICD-10 and HCPCS coding standards.
• Applies a thorough understanding and able to interpret explanation of benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment was received.
• Ability to interpret CMS 1500 claim data to be able to troubleshoot claim edits and resolve payer billing requirements both timely and accurately.
• Ability to follow-up with 3rd party payers for claims and appeals submitted to ensure timely and accurate processing.
• Review insurance remittance advices, researching denial reasons and resolving issues with well-written appeals.
• Resubmits claims with necessary information when requested through paper or electronic methods.
• Communicate effectively and answer questions from patients in a clear and supportive capacity.
• Assist patients with billing issues and setup payment plans as needed.
• Miscellaneous other tasks may be assigned at any given time.

Requirements:

• Professional demeanor
• Self-motivated
• Dependable
• Team-oriented
• Handle multiple tasks at one time
• Efficient with computers.
• A commitment to maintaining confidentiality and compliance with HIPAA regulations.

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Experience:

• billing and claims: 1 year (Required)

Ability to Commute:

• Omaha, NE 68118 (Required)

Ability to Relocate:

• Omaha, NE 68118: Relocate before starting work (Required)

Work Location: In person

Salary : $19 - $22