Sr. Billing Collections Rep.
Description: The Senior Billing Collections Representative is responsible for billing, collections and reconciliation of all insurance claims. The position processes claims daily, reviews claims for accuracy, performs required edits and submits claim to payers.
Typical Duties
1. Monitors recurring rejected claims to management for evaluation of impact on the timely filing of claims.
2. Researches and processes credit balances by refund and or adjustment reports and process claims and/or remittance advice/EOB for insurance carriers.
3. Reviews claims for accuracy, performs required edits, submits claims and/or rebills to payors daily to ensure timelines of claim submission.
4. Reviews the rejection reports to determine information needed to complete the billing or claim submission process.
5. Processes claims and or Remittance Advice/EOB for insurance carriers while comparing reimbursement to available contracts.
6. Reconciles Medicare and/or Medicaid remittance advice to patient accounts.
7. Researches and responds to incoming patient, payer, physicians and or representative inquiry by telephone and/or mail within 2 business days of requests.
8. Tracks productivity and provide weekly status reports to the Coordinator, Supervisor and /or Director.
9. Documents all actions taken on accounts in the system account notes to ensure all prior actions are not noted and understandable by others.
10. Reviews claims in SSI, THIN and TexMedNet for missing elements; notifies Medical Records and/or Medical Denial and Appeals of impending filing deadlines.
11. Reports all recurring rejected claims to management for evaluation of impact on the Accounts Receivables.
12. Researches and processes credit balances by refund and/or adjustment reports.
13. Performs other related duties as assigned.
Qualifications:
Required Education and
Experience:
High School Diploma, GED or equivalent.
1 plus year of Medical Billing/Collector experience.
Preferred Licensure/Certification/Specialized Training:
AAHAM Membership.
Click Here to Apply Online
. Apply now!Estimated Salary: $20 to $28 per hour based on qualifications.
Typical Duties
1. Monitors recurring rejected claims to management for evaluation of impact on the timely filing of claims.
2. Researches and processes credit balances by refund and or adjustment reports and process claims and/or remittance advice/EOB for insurance carriers.
3. Reviews claims for accuracy, performs required edits, submits claims and/or rebills to payors daily to ensure timelines of claim submission.
4. Reviews the rejection reports to determine information needed to complete the billing or claim submission process.
5. Processes claims and or Remittance Advice/EOB for insurance carriers while comparing reimbursement to available contracts.
6. Reconciles Medicare and/or Medicaid remittance advice to patient accounts.
7. Researches and responds to incoming patient, payer, physicians and or representative inquiry by telephone and/or mail within 2 business days of requests.
8. Tracks productivity and provide weekly status reports to the Coordinator, Supervisor and /or Director.
9. Documents all actions taken on accounts in the system account notes to ensure all prior actions are not noted and understandable by others.
10. Reviews claims in SSI, THIN and TexMedNet for missing elements; notifies Medical Records and/or Medical Denial and Appeals of impending filing deadlines.
11. Reports all recurring rejected claims to management for evaluation of impact on the Accounts Receivables.
12. Researches and processes credit balances by refund and/or adjustment reports.
13. Performs other related duties as assigned.
Qualifications:
Required Education and
Experience:
High School Diploma, GED or equivalent.
1 plus year of Medical Billing/Collector experience.
Preferred Licensure/Certification/Specialized Training:
AAHAM Membership.
Click Here to Apply Online
. Apply now!Estimated Salary: $20 to $28 per hour based on qualifications.
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