Position Summary 

Responsible for all claim submission, electronic and paper, ERA posting, Medicare A/R, and Medicare aging. Cross-trained to cover other billing department positions. 

Duties & Responsibilities include but are not limited to:

• Transmits claims daily and generates proper reports to ensure claims are submitted properly.
• Corrects rejected claims and communicates with staff accordingly to educate and correct issues. 
• Responsible for keeping in contact with the patient management system, vendors, and clearinghouse on electronic changes, rejections, and denials or software problems regarding ERA's and claim submission.
• Responsible for making sure referrals and authorizations are attached to claims. 
• Responsible for working and appealing Medicare denials, printing out secondary claims, and attaching Medicare explanation of benefits.
• Counseling patients in the office about account balances, making payment arrangements, and taking payments from patients.
• Attends to receptionist and patients incoming calls on billing questions.
• Responsible for posting electronic ERA's into the patient management system. 
• Responsible for attending meetings and listening to webinars to keep up with Medicare/Medicaid changes, such as HMOs. 
• Assists with patient credit reports and issues refund requests. 
• Performs related work required or requested by providers or administrators. 
• Practice and adhere to HIPPA regulations.

Qualifications & Specifications

• Education-high school diploma or GED.
• Knowledge of basic office equipment including copier, fax machine, and computer.
• Experience-minimum of one to two years in insurance and collections