• Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
  • Post insurance payments, explain patient what the EOB is about, collect payments from patients.
  • Communicate annual contracting, CPT, and ICD-9 yearly changes to doctor’s offices by creation of formal notification.
  • Experience with billing systems and practices with CPT coding, ICD-9, and usages of coding for productive billing.
  • Bill insurance companies using ICD-9 coding.
  • Used denial reason codes on paper & electronic EOB in EMR/EHR software to examine denials.
  • Maintain patient confidentiality for both HIPAA and financial regulations.
  • Maintain confidentiality of clinic materials in accordance to HIPAA guidelines.
  • Assist the billing department in prior-authorizations and billing for primarily Medicaid patient encounters.
  • Review and entry of Medicaid documentation into state-wide database system for billing purposes.
  • Maintain confidential information on a daily basis with patients in a manner which shows sensitivity and professionalism.
  • Work directly with patients answering billing questions, accommodating scheduling requests and providing medical documentation to insurance companies.
  • Perform complex general accounting functions, including preparation of journal entries, account analysis and balance sheet reconciliations.
  • Discuss services as well as upselling to meet monthly quota.
  • Contribute to sales of the insurance and upselling for better offers and deals

 

Qualifications:

  • Graduate of any four-year related course
  • With experience
  • Excellent communication skills ( verbal and written)

 

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