Understand and complete all processes of insurance billing for individuals in their home and residents of long term care communities.
Work with the sales and support teams for the achievement of customer satisfaction, revenue generation and long-term account goals in line with company vision and values. Interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints.
RESPONSIBILITIES:
Communicate effectively with customers, payers, vendors via phone, letter, fax and email.
Responsible for 3rd Party Billing Program for individuals with strict adherence to company policies, HIPAA regulations, Joint Commission requirements and government standards.
Accurate processing of customer’s medical and insurance information into the company systems.
Complete reports as assigned regarding revenue, denials, appeals, recoupments, etc.
Maintaining thorough and accurate records and notes.
Enter payments, work denials, and manage an aging of balances utilizing excellent time management and accuracy.
Participate in all Third Party Billing Team processes
Communicate any trends in reimbursement or errors in claims submission to the Billing Manager.
Adhere to all company policies, procedure and business ethics codes and ensures that they are communicated and implemented within the team.
JOB SPECIFICATIONS:
Healthcare insurance billing experience (DME preferred)
Ability to locate, understand and apply local coverage determinations and policy articles for both Medicare and Mississippi Medicaid.
Experience with software solutions and large, complex organizations (experience with Brightree preferred)
Excellent oral and written communication skills
Willingness to work in a positive, professional, team environment
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