Duties and Responsibilities:
- Review claims to ensure correct codes/modifiers are being used for each visit/claim.
- Ensure that patients are eligibility for services, and they apply the appropriate charges to their insurance or personal billing account.
- Oversee front desk staff in collecting payments for deductibles, office co-pays, and co-insurance.
- Counsel with patients who are looking at large medical bills.
- Inform and educate patients, office staff and providers of the office of billing or insurance restriction of patient’s visits based on insurance eligibility.
- Follow up on unpaid accounts, transmit electronic claims, and deal directly with insurance companies
- Call insurance companies to find out claim status or dispute denials
- Draft appeals to forward to insurance companies for payment
- Appeal denied claims. Attach any appropriate documents for the claim.
- Run reports monthly to ensure that the accounts are balanced.
- Generate and maintain up to date info spread sheet of all insurance, coding, med necessity changes of each payer.
- Experience with Ambulatory Surgery Center is a plus.
Skills Required:
- ICD-10, HCPCS, CPT coding
- EHR (Athena preferred)
- Insurance Billing
- ASC Billing
- Medical Terminology
- Refunds/Write Offs
- Collections
- Customer Service
- Proficient in Microsoft programs
Professional appearance and mannerism is a must for this position.
Covid Vaccination is required.
This is in ON SITE position. Please DO NOT apply if you are unable to work in our Havre de Grace, MD office.
Job Type: Full-time
Pay: $18.00 - $23.00 per hour
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
Experience:
- ICD-10: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Work Location: In person