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Company Contact Info

  • Neptune City, NJ
  • Medix

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Accounts Receivable

Medix • Neptune City, NJ

Posted 1 month ago

Job Snapshot

Full-Time
$15.00 - $18.00/Hour
Healthcare - Health Services, Insurance, Managed Care
Health Care, Insurance, Other

Job Competition

19

Applicants

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Job Description




Medical Billing Specialist - Hospital Collections - Healthcare - Accounts Receivable - Physician Billing


Job Responsibilities:

As a Medical Billing Specialist, you will perform duties as an Accounts Receivable Representative for Commercial and Managed Care accounts. You will be responsible for following up on claims from billing through final resolution.

Other responsibilities of the Medical Billing role include:

  • Ability to identify and correct billing errors and resubmit corrected claims to Insurance carriers
  • Ability to work a minimum of 20+ accounts per day
  • Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
  • Ability to review and interpret provider contracts to determine discrepancies in pricing/reimbursements
  • Ability to utilize web based applications: Navinet, Availity, and individual Online Portals for claim status, authorization status, eligibility, appeals and reconsiderations
  • Identify and report underpayments and denial trends
  • Initiate appeals when necessary
  • Knowledge of basic coding guidelines
  • Knowledge of healthcare claims processing including: ICD-9, CPT, and HCPC codes, as well as UB-04
  • Knowledge of Explanation of Benefits (EOBs) and remittance advices (ERAs)
  • Understanding of reasons for payment errors, denials and underpayments
  • Strong analytical/problem solving skills
  • Ability to manage multiple hospital/clients and systems
  • Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results
  • Ability to analyze, identify and resolve issues causing payer payment delays
  • Act cooperatively and courteously with patients, visitors, co-workers, management and clients
  • Maintain confidentiality at all times


Requirements:
  • 1+ years of physician billing/collections experience


Shift:

M-F 8:00-5:00 PM flexibility


Pay Rate:

$16-$18/hr (dependant on applicable experience)


Benefits:

Health, Dental & Vision


Medical Billing Specialist - Hospital Collections - Healthcare - Accounts Receivable - Physician Billing


Job Requirements

1+ years of physician billing/collections experience
Job ID: 78307
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