Insurance A/R Occupational Medicine job at MedExpress in Morgantown

MedExpress is currently seeking to employ Insurance A/R Occupational Medicine on Sat, 22 Jun 2013 10:15:18 GMT. PURPOSE: Responsible for managing the insurance accounts receivables post claims processing to include edits, rejections, and denials. Accurate claims submission with payee guidelines, timely account follow up and assistance with denial management to ensure the financial viability of the urgent care clinic sites. WORKING RELATIONSHIPS: Reports to Teams Lead, Supervisor and Manager of Billing...

Insurance A/R Occupational Medicine

Location: Morgantown West Virginia

Description: MedExpress is currently seeking to employ Insurance A/R Occupational Medicine right now, this job will be placed in West Virginia. For complete informations about this job opportunity kindly read the description below. PURPOSE: Responsible for managing the insurance accounts receivables post claims processing to include edits, rejections, and denials. Accurate claims s! ubmission with payee guidelines, timely account follow up and assistance with denial management to ensure the financial viability of the urgent care clinic sites.

WORKING RELATIONSHIPS: Reports to Teams Lead, Supervisor and Manager of Billing.

RESPONSIBILITIES include but are not limited to the following:

Department:
a.) Work with insurance carriers to obtain payment on delinquent charges by maintaining a timely follow up process.

b.) Preparation and submission of all necessary documentation in order to obtain payment.

c.) Responsible for any corrections of edits prior to transmission of electronic claims.

d.) Responsible for reconciliation of billing account transactions to ensure accurate information according to established guidelines/procedures.

e.) Maintain reasonable aging of outstanding accounts receivable guidelines within CBO-Central Billing Office.

f.) Keep current by ! attending seminars/conferences as approved by Manager.
g.) Responsible for monitoring clearing house to ensure timely submission of electronic claims.

h.) Responsible for communicating issues and inefficiencies encountered in daily processes.

i.) Responsible for maintaining and keeping all edits, denials, and rejections at a current status within the established time frame.

j.) Participates in a team effort to fulfill area goals and work requirements. Deals positively with co-workers, supervisors and supports management decisions.

k.) Share knowledge and assists others when appropriate. Utilizes appropriate channels of communication while maintaining complete confidentiality at all times.

General:
a.) Maintain current knowledge of major payor payment provisions and regulations; as well as ICD-9 and CPT coding requirements by attending seminars/conferences as approved by CBO Manager.

b.) Inform leadership of any problems related to job duties.

c.) Partic! ipates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.

d.) Special projects as assigned by management.

QUALIFICATIONS:
Knowledge of :

• IDX-GPMS Software desirable, as well as basic knowledge of communications hardware and software. Medical practice operations and centralized patient accounting, Medicare and Medicaid regulations.
• CPT-4 and ICD-9 codes required.
• Accounts receivable process and medical terminology.
• HIPAA as it applies to sensitive information encountered when performing daily processes.

Ability to :

• Must be able to work independently.
• Accurately utilize applicable computer software and equipment for claims processing.
• Demonstrate flexibility to meet the needs of the office in regard to changes in work volume, planned change, scheduling changes, etc.
• Understand an! d apply knowledge of established insurance contracts.
• Good com! munication and organizational skills with the ability to demonstrate the use of tact and diplomacy in dealing with others.

Training and Experience :

• One (1) to three (3) years previous healthcare billing experience with medical software.
• Experience when dealing with medical terminology, CPT-4 and ICD-9 required.
• Organizational skills and ability to multi task in a fast paced environment.
• High school graduate or GED required.

WORK ENVIRONMENT:
Working Conditions:

• Works in a clean, well-lighted and ventilated office, and may be required to travel by automobile to various meetings or functions.
• Hours may be long and irregular.

Physical Requirements:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• Requires normal range of ey! e-sight in order to read, prepare and communicate appropriate information.
• Must be able to write legibly.
• Requires eye-hand coordination sufficient to operate computer keyboard, telephone, photocopier, calculator and other office equipment.
• Requires clear speech and auditory acuity.
• Moderate physical demands due to prolonged sitting, bending stooping, occasional lifting, stretching and ability to travel in an automobile to perform the tasks associated with managing billing services from various clinics.
• Ability to sit for extended periods of time.

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If you were eligible to this job, please email us your resume, with salary requirements and a resume to MedExpress.

If you interested on this job just click on the Apply button, you will be redirected to the official website

This job starts available on: Sat, 22 Jun 2013 10:15:18 GMT

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