Monday - Friday from 8:30AM - 5PM
About the role:
Responsible for interfacing with patients, company sales and/or service representatives, ambulatory surgery and implant centers/facilities and insurance carriers to handle a variety of pre-sales and post-sales service functions in the area of customer billing. Obtains patient information and maintains database of patient files. Facilitates communication between insurers, clinics and patients, expediting exchange of required data and dealing with insurance billing problems. Exercises some independent judgment, works on assignments that are semi-routine in nature where ability to recognize deviation from accepted practice is required.
Your responsibilities will include:
- Maintain a complete collection of accounts receivable for area of expertise. This includes following accounts through the revenue cycle, from charge review, claim edits, claim submission, and follow up with third party payers and patients to facilitate prompt resolution of outstanding account balances.
- Resolve claim edits via claim edit work queues and/or our external billing software.
- Review charges to ensure accurate filing to correct guarantor.
- Analyze and reconcile denied payment transactions.
- Compile and file all information needed to appeal denials.
- Follow federal and state regulations to ensure compliance standards are met.
- Monitor timely filing requirements on claims and appeals.
- Follow-up with contracted payers to secure payments on outstanding balances.
- Evaluate third party payments to ensure accuracy relative to contract language (underpayment/overpayment)
Required qualifications:
- 1 Year with associate degree, or an equivalent combination of education/work experience
Job Type: Full-time
Pay: From $18.00 per hour
Benefits:
- 401(k)
- AD&D insurance
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid sick time
- Paid time off
- Tuition reimbursement
- Vision insurance
- Work from home
Physical setting:
Schedule:
Education:
Experience:
- Medical collection: 1 year (Required)
Shift availability:
Ability to Commute:
- Houston, TX 77001 (Required)
Work Location: In person