Position Summary:
The Medical Biller and Accounts Receivable Specialist is a key member of the revenue cycle team. They participate in the data entry of billing information to ensure accurate and timely billing submissions as well as reviewing unpaid, rejected or underpaid claims; identifying the errors and submitting formal appeals.
Responsibilities:
· Knowledge of Medical Terminology, ICD-10 and CPT codes
· Report missing charges/documentation to supervisor and/or provider
· Enter charge data into Patient Keeper billing interface
· Maintain Patient Keeper files for validity errors
· Review and work TES Work Files
· Work rejections from the Clearinghouse to correct errors for resubmissions
· Generates and submits electronic claims
· Work collaboratively with providers and administrative staff to resolve billing discrepancies
· Respond to patient billing inquiries
· Review and work department review work files
· Investigate and resolve claim denials, rejections and payment variances
· Submit corrected claims, appeals and supporting documentation as needed
· Work aging reports and prioritize accounts based on timely filing limits
· Review and adjust claims as needed
· Process refunds
· Perform other related duties as assigned by management
· Complete special department projects
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