What are the responsibilities and job description for the Medical Billing Denial Specialist position at Southern Urology Lafayette?
EXPERIENCED MEDICAL BILLER - AR SPECIALIST NEEDED FOR A BUSY SPECIALTY CLINIC.
THIS IS A FULL TIME ON SITE JOB IN LAFAYETTE.
EXPERIENCE REQUIRED
DESCRIPTION OF JOB DUTIES:
- Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients
- Process assigned AR work lists provided by the manager in a timely manner
- Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution
- Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations
- Recommend accounts to be written off on Adjustment Request
- Reports address and/or filing rule changes to the manager
- Check system for missing payments
- Properly notates patient accounts
- Review each piece of correspondence to determine specific problems
- Research patient accounts
- Reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.)
- Processes and follows up on appeals. Files appeals on claim denials
- Scan correspondence and index to the proper account
- Inbound/outbound calls may be required for follow up on accounts
- Route client calls to the appropriate RCM
- Respond to insurance company claim inquiries
- Communicates with insurance companies for status on outstanding claims
Job Type: Full-time
Benefits: Medical/Dental and Vision benefits are effective day 1 of employment
- 401(k) - after 90 days of employment
- Paid time off - accrued at day one at 3.08 hours per pay period
Schedule:
Day shift Monday to Friday
Experience:
- ICD-10: 3 years (Preferred)
Work Location: In person
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