Accounts Receivable Rep - Medical Insurance/Billing

• Responsible for analyzing and acting from pre-bill worksheets for respective plans, reviewing and correcting errors before daily submission.
• Reviews billing reports, confirmations, and tracks daily claims activity.
• Analyzes, works, and appeals denials from EOB’s and correspondence daily. Flags accounts appropriately.
• Initiates and works up refund requests for overpayments.
• Responsible for knowing and following assigned plans’ guidelines, pre-certification requirements and procedures for filing and appealing claims.
• Responsible for the generation and distribution of pre-bills of assigned plan(s), electronic filing, paper filing, and confirmations on a “as needed” basis.

Requirements

• Minimum two years experience in a medical/billing office setting with a strong knowledge of insurance, managed care, Medicare, and Medicaid.
• Excellent organizational skills and ability to do detailed multi-tasks.
• Related computer experience, working knowledge of Microsoft Office, Word, Excel, NextGen experience preferred.
• Ability to deal effectively and professionally with outside vendors and insurance representatives.
• Working knowledge of office equipment.