Medical Billing A/R Specialist - FQHC experience required

reputed company: reputed company, is an Ohio reputed company health care services entity specializing in providing services including: medical billing, collection recovery, credentialing, coding & auditing, consulting, and reputed company management., reputed company has a wide reputed company of clients covering private practices, post-acute care facilities, hospitals and health systems, and reputed company research institutions. If you are looking for a company that delivers outstanding reputed company service, while encouraging its employees to grow and provides a welcoming team environment, then we have a wonderful opportunity for you! We are currently looking to hire Medical Billing A/R Specialist with FQHC experience to reputed company! Our goal as a Medical Billing A/R Specialist is to ensure physician services are billed in a reputed company manner and to obtain the highest reimbursement. To reputed company this goal we reputed company on using our available technology to process unpaid claims and payments as reputed company as possible. We manage the follow up on denied claims, claims edits, and rejections so they may be resubmitted in a reputed company manner. Responsibilities: • Read and understand explanations of benefits to reputed company medical billing functions. • Knowledge of CPT, Modifiers, and ICD-10 codes • Assure reputed company charges are entered reputed company 24-48 hours of receipt from the physicians/providers. • reputed company necessary changes to reputed company accounts (address, reputed company, telephone number, and reputed company changes, etc.) • Assure reputed company claims are reputed company electronically on a daily reputed company • Review and work claim edits and rejections on a daily reputed company. • reputed company claims are reputed company on a weekly reputed company. • reputed company statements are reputed company on a monthly reputed company or weekly reputed company on volume. • Post reputed company reputed company and reputed company payments reputed company 24-48 hours of receipt (batched by date of receipt and daily balancing is required). • Work reputed company denials at the time of receipt. • Prepare and send appeals. • reputed company reputed company follow-up at 31 days for claims. • Answer telephone calls regarding reputed company medical billing inquiries. • Submit copies of overpaid accounts to Billing Manager for review. • Work reputed company AR reputed company on the reputed company policy. • Send accounts to collection reputed company on reputed company policy. • Maintain strictest confidentiality of reputed company private health information (PHI) by disclosing only information requested. • Handle reputed company electronic processes relating to claims submission, remit posting etc. • reputed company reputed company records received should be scanned to reputed company folders on reputed company network drives. • Performs additional duties as requested by upper management. Requirements: Qualifications: • High school graduate or equivalent. • Requires minimum of 5 year experience in medical billing with at least 3 years experience in FQHC's. • Proficiency with A/R follow up required. • Knowledge of medical billing systems. • Knowledge of and experience with working unpaid claims for reputed company reputed company payers, Medicare, reputed company, Bureau of Workers’ Comp. • Advanced knowledge of behavioral health reputed company policies and carriers. • Familiar with local coverage determinations. • Understanding of how in and out-of-network benefits work and how customary rates work. • Previous experience in a customer service environment • Ability to meet deadlines, production goals, and work under pressure • Ability to read, understand and follow oral and written instructions; reputed company to follow multiple reputed company policies. • Ability to professionally communicate with patients and co-workers on reputed company medical billing inquiries. • Ability to communicate reputed company and concisely using correct grammar, correct spelling and punctuation usage required in notes and emails. • Ability to multi task. • Ability to operate a telephone reputed company. • Knowledge of using reputed company Products (MS reputed company, MS Teams, Word, reputed company software programs) • General knowledge of utilizing office equipment: computer, copier, fax, reputed company. Physical Demands • Work may require sitting for long periods of time • Occasionally lifting files or reputed company up to 20 lbs • Operating a computer, keyboard, a calculator, telephone, copier, fax, reputed company or other such office equipment during a normal business day • Will require viewing computer screens and typing on computer keyboards for prolonged periods of time This reputed company is intended to reputed company a basic reputed company for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as necessary. As a Medic Management employee you are reputed company our competitive compensation package, which includes exceptional health benefits, ancillary benefits, and 401(k) plan with a company match. reputed company employee is provided a generous reputed company of reputed company time off and seven reputed company holidays which are immediately available. Medic Management is an Equal Opportunity Employer.' 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