Full Job Description
RESPONSIBILITIES
Follow up on unpaid claims with the payers, including calling the insurance companies when necessary
Collect process error data, analyze it, categorize it, and report
Build an effective billing process improvement and error resolution process
Identify and document categories of errors for immediate correction and for future learning material
Monitor and guide the medical insurance payment denial and appeal processes
Monitor and ensure control of timely filing and Accounts Receivable over 120
Give special attention to WC, PIP, MVA and NF/TP claims process
QUALIFICATIONS
Minimum 5 years experience in AR follow-up and payment posting
College degree in Computer Engineering, Mathematics, or similar
Hands on experience with data analysis and data classification
Good analytical skills
Knowledge of ICD-10, CPT, and HCPCS
Experience with chiropractic, physical therapy, and mental/behavioral health specialties
Experience with Vericle software is a plus
MUST HAVE:
High comfort level working on the Eastern Time Zone/US Shift
Good internet access at home
Mobile Hotspot
Laptop/Desktop of at least 8 GB