Billing Specialist - A/R

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:

• 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