What are the responsibilities and job description for the A/R Billing position at Parallel ENT & Allergy?
Job Details
Description
Join our team where Healthcare is reimagined!
We are looking for an AR Billing Specialist to join our team. We are an established practice that is continually growing. Work with our well-respected group serving the community for many years. Whether starting your career or looking to share your knowledge with others, we are the place for you!
What makes us different?
While working at our Company, a Parallel ENT & Allergy Company, you will enjoy great perks, such as a great work schedule (no weekends), excellent benefits package, and PTO. We strive to maintain an environment where our employees can grow and further their skills and careers while being a part of a strong team.
Responsibilities:
- Identify the root cause of insurance denials, send appeals to payors, and take appropriate actions to assure prompt payment.
- Process claims through clearinghouse, reviews report, identifies denied claims, research, and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer.
- Document follow-up appropriately in the practice management system
- Perform collection actions, including third-party appeals and resubmitting claims to third party payers via email/website or written inquiries.
- Identify and bill secondary or tertiary insurances. Mail out HCFA with EOB
- Reconcile carrier submissions, edits, and rejection reports while working aging reports
- Resolve incoming patient calls with excellent customer service skills.
- Employ tactfulness in dealing with insurance companies/patients regarding accounts in verbal and written communication, while always professional and courteous.
- Identify, verify, and document adjustments according to established policies and procedures.
- Reviews payment postings for accuracy and to ensure correct fee schedule
- Works with co-workers to resolve payment and billing errors.
- Process patient bills/print/mail statements and post refunds
- Contacts third party payers to resolve payer issues, expedite claim processing, and maximize medical claim reimbursement.
- Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials working directly with the payers
- Follow through on claim denials and rejections on timely basis
- Other duties as requested or assigned by direct report
Qualifications:
- High School Diploma or GED is required
- Ability to thrive in a fast-paced environment
- Excellent customer service and computer skills
- Strong verbal and written communication skills
- Friendly, personable demeanor
- Detail oriented
- Ability to multi-task
- Strong problem solving skills
- Medical Billing experienced preferred but not required
- Preference for specialty medicine billers
We are committed to a diverse and inclusive workplace. The Company is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or another legally protected status.
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