Patient Accounts Specialist I - Physicians' Billing
$38,896–$38,896 year
RemoteUnited States
Job Summary
Review accounts receivable data for completeness and accuracy, updating account information and transferring charges to correct financial classes. Collect and determine follow-up on outstanding balances under $3000, while obtaining necessary billing and appeal information to facilitate timely claim adjudication. Process denial resolutions and appeals for claims below contractual fee schedules, resolving patient and carrier complaints by communicating updates to management. Maintain 100% performance against established ETM Production quotas while monitoring assigned accounts until payments are posted. Requires two years of medical billing collection experience and proficiency with GE IDX and ETM systems.
Required Qualifications
- at least two years of experience in hospital or physician patient accounts and collections within medical billing operations
- strong understanding of denial resolution and appeals processing
- High School Diploma or GED
- 2 years collection experience in medical billing operations
- Knowledge of ICD9/10 and CPT4 coding as it relates to third party carrier reimbursement
- Knowledge of federal state and local legal and regulatory provisions that relate to collection activities
- Knowledge of third-party carrier operating procedures and practices -- particularly as they relate to levels and methods of reimbursement
- Proven skill in defining problems, collecting data, and interpreting billing information
- Excellent organizational and analytical skills that ensure successful and accurate completion of daily quota driven processing
Desired Qualifications
- some college
- Experience and proficiency using an automated billing system GE IDX
- ETM experience
- Experience and proficiency using an automated billing system GE IDX and ETM experience
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