• Obtaining billing information from Clients and generating daily claims

• Performing Q.A. of charges received from Clients and making modifications/changes as required to produce a clean claim

• Reviewing contract/details of new payers before billing. Working with supervisor/manager on changes needed in the billing system (e.g., CPR+, CareTend)

• Tracking pending claims

• Submitting claims to insurance companies in a timely fashion and within the individual insurance company's timely filing period.

• Preparing and/or printing all secondary claims that do not automatically cross over from Medicare or other primary payer

• Following up on patient balances within established timeframes.

• Obtaining claim's status by calling the payer and/or using an online payer portal

• Utilizing reports to determine tasks that require follow up

• Taking appropriate action for escalating claims not paid within 60 days or for denied appeals

• Preparing write-off request when bad debt is identified. Documenting description of the reason for the write-off.

• Researching claim payments, partial payments, over payments.

• Prioritizing claims to identify Top Ten high balance accounts. Keeping accounts current until complete. Preparing report of Top Ten accounts monthly for supervisor/manager review.

• Preparing status report with supporting documentation of all claims over 90/120 days

Do you have what it takes?

Required Qualifications:

• 1-2 years of billing and/or collections or insurance claims processing

Do you stand above the rest?

Preferred Qualifications:

• Healthcare insurance claims processing knowledge

• Healthcare billing and collections knowledge

• Working knowledge of word and excel

• Home infusion and durable medical equipment billing and collection experience preferred, IV field experience, medical billing certification, some college education

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