Billing Specialist
Description:
Job Description
Description:
Central Billing Office of Multi-Specialty Practice is currently seeking a full-time AR Specialist to oversee third party Trizetto for claims management and accurate fee schedule reimbursement.
Responsibilities:
Reporting of carrier performance according to contracted fee schedule
Denial management
Good oral and written communication skills
Effective Problem-solving skills and make independent decisions
Work effectively in a team environment
Perform consistent, assertive, efficient and timely follow-up on accounts as determined by Management
Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements
Medicare, Medicaid, and/or third party payer experience in dealing with healthcare insurance companies through phone follow-up and letter correspondence during the appeals or denial resolution process
Corrects billing errors, edits, overlaps, etc., and submit clean claims
Review payment variances and remittances for resolution in an efficient and timely manner for processing of patient and/or insurance refunds.
Identify payer issues or trends and update Manager in a timely manner, providing concrete examples for Management to review.
Other duties as assigned.Requirements:
Minimum of a high school diploma, coding and billing courses helpful.
Additional training in Athena and Trizetto a plus.
Skill in computer applications
Full time - Monday to Friday