GENERAL DESCRIPTION

This position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. This position must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines.

ESSENTIAL JOB FUNCTIONS


+ Submits claims to government and commercial payers according to timely filing requirements.

+ Posts payments and remittance advices in appropriate database(s).

+ Tracks and collects aging accounts receivables.

+ Research claim denials & clearinghouse edits.

+ Completes requests for medical information and other related correspondence.

+ Identifies and analyzes open claims and corrects billing errors.

+ Re-submits claims to insurance carriers as appropriate.

+ Monitors all past due accounts for payment.

+ Contributes to a cohesive departmental unit.

+ Maintains regular and predictable attendance...