Southern Urology Lafayette
Full-time Billing Specialist - A/R
Southern Urology Lafayette, Lafayette, Louisiana, United States, 70595
Overview
EXPERIENCED MEDICAL BILLER/AR SPECIALIST ALSO NEEDED TO PRE-CERT RADIOLOGY AND RADIATION CLAIMS - NEEDED FOR A BUSY SPECIALTY CLINIC. THIS IS A FULL-TIME OFFICE JOB IN LAFAYETTE. EXPERIENCE REQUIRED
DESCRIPTION OF SOME OF THE JOB DUTIES:
Responsibilities
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
401(k)
401(k) matching
Dental insurance (day one of employment)
Health insurance (day one of employment)
Paid time off
Vision insurance
Schedule Day shift, Monday to Friday
Experience
ICD-10: 2+ years (Required)
#J-18808-Ljbffr
DESCRIPTION OF SOME OF THE JOB DUTIES:
Responsibilities
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
401(k)
401(k) matching
Dental insurance (day one of employment)
Health insurance (day one of employment)
Paid time off
Vision insurance
Schedule Day shift, Monday to Friday
Experience
ICD-10: 2+ years (Required)
#J-18808-Ljbffr