Generates revenue by posting, collecting and adjusting accounts. Responsible for following up with insurance companies and patients for payments.

Duties

• Prepares and submits clean claims to insurance companies either electronically or by paper within two business days of the date of service.
• Reviews and corrects any claims on the reject list. · Contacts W/C Carriers and Adjusters for claim updates and status
• Uploads supporting documentation to Clearinghouse.
• Identifies and resolves patient billing complaints.
• Calculates insurance adjustments and posts accordingly.
• Reviews and updates all accounts over 45 days old daily.
• Appeals incorrectly paid or denied claims either by phone or by letter.
• Enters accurate and detailed notes on accounts.
• Provides A/R Team Lead with weekly, bi-weekly and monthly updates.
• Conducts self in accordance with TOA’s employee handbook.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Ability to be crossed trained in several areas in the billing department.
• Other duties as assigned.

Work Experience Requirements

• 2+ Years billing Follow-Up Experience.
• Knowledge of Microsoft Office and Outlook.
• Knowledge of basic medical coding.
• Understanding of medical insurance contracts and reimbursements.
• Basic typing and 10-key skills.
• Ability to establish and maintain effective working relationships with patients, employees and the public.

Education Requirement

• High School Diploma or GED