Description

Skills/Qualifications: Experience in computer applications (Microsoft Word & Excel spreadsheet), medical terminology, ICD diagnosis coding, skill in operating standard office equipment, aim for maximum accuracy and detail, ability to multi-task in face-paced environment, prioritize, meet deadlines, and utilize time-management effectively. Exhibit a professional manner in conversation and appearance. Offer the highest level of customer service to our clients and referrals. Impeccable HIPAA compliance standards. Excellent verbal communication skills to establish and maintain a harmonious working relationship with co-workers. Written composition skills a must. Positive, "can do" attitude, team player, and desire to learn essential.

Job Duties: Completion of insurance verifications; review scanned images for documents required by insurance carriers for claim reimbursement; extensive follow-up of documents & forms, claims reimbursement, claims denials, appeals, etc.; respond to client phone calls regarding A/R inquiries; contact referrals and physicians to request information required for reimbursement; knowledge of insurance carriers requirements/criteria to determine coverage & reimbursement; process prior authorization requests; manage A/R Aging Report to maintain low DSO; back-up customer service as needed.

Requirements: One year experience in the following: ECS, customer service, direct contact with physician staff, knowledge of insurance carriers requirements/criteria, processing prior authorization requests, collection of past due insurance claims.