A/R Biller (58226)
$48,901–$73,403 year
On-siteLong Island City, New York, United States
Job Summary
Resolve cash-generating accounts expeditiously to bring in revenue, processing an average of 40-50 accounts daily with a 5% or less error ratio. Follow up on Managed Medicaid, Commercial, and Essential claims via phone, websites, or online resources to address denials. Calculate fee schedules, file appeals on denied claims, and apply 820 billing regulations while interpreting EOBs, UBs, 1500s, and ERAs. Utilize reason and status codes in the EMR system and communicate effectively with insurance entities and patients to resolve accounts. Requires proficiency in Microsoft Office Suite and strong organizational skills.
Required Qualifications
- High school diploma or equivalent
- Excellent written and verbal communication skills
- Excellent organizational, time management and problem-solving skills
- Proficient in Microsoft Office Suite or similar software
- Understanding of medical terminology, diagnosis codes, denial codes, and calculating fee schedules
- Experience in filing appeals on denied claims when appropriate while working each account/claim
- Strong understanding of UBs, 1500s, Electronic Remittance Advice (ERAs)
- Ability to read and understand EOBs (Explanation of Benefits)
- Able to read and understand the 820 billing regulations and applying them when following up on Claims
- Able to work an average of 40-50 accounts per day 100% of time
- Able to work accounts with 5% or less error ratio
- Able to use the appropriate reason and status codes in the EMR system for each account
- Able to request the correct information from the appropriate entity when attempting to resolve the account
- Able to ask the appropriate questions when calling insurance companies or state programs, or patient
- Regularly required to sit, use hands to type, handle or feel objects, tools or controls; reach with hands and arms, and talk or hear
- Frequently required to stand, walk, stoop, kneel or crouch and lift and/or move up to 30 pounds
Desired Qualifications
- Associates degree or vocational school training
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