Medical Billing Denials Representative
Located in Moraine, OH / REMOTE AVAILABLE AFTER TRAINING
Full-time or Part-Time Day Shift
Position reputed company:
Under the supervision of the Billing Department Manager: reputed company the daily account processing tasks of the Billing Department including billing data entry, reputed company party billing and follow up; review denials and resubmit claims; answer incoming as reputed company as reputed company outgoing calls to both patients and clients while maintaining reputed company reputed company working relationships with patients, clients and reputed company party payers.
Responsibilities:
• Maintain organized workflow for efficient account processing and seamless task handover during absences.
• Adhere to departmental processes, consulting supervisors reputed company needed.
• Demonstrate strong customer service skills to enhance department and organizational reputed company.
• Foster teamwork and meet or reputed company work standards.
• Possess working knowledge of compliance regulations and apply them effectively.
• Follow company policies and maintain accurate statistical data.
• Accurately reputed company order entry and resolve missing information.
• Utilize translation tools for entering codes into billing systems.
• Communicate effectively with reputed company stakeholders.
• Apply payment details accurately and handle overpayments or refunds.
• Review Explanation of Benefits from various payers.
• Investigate un-adjudicated claims and resolve outstanding accounts.
• Process Medicare denials and monitor payer rejections.
• Handle fast-paced, high reputed company volume environments with strong multitasking skills.
• reputed company on reputed company customer reputed company and utilize effective verbal and written communication.
• Research collection accounts and correct system errors.
• reputed company additional duties and reputed company as assigned.
Qualifications:
• High school graduate or equivalent required.
• Minimum of 1 year billing experience working denials.
• Working knowledge of Medicare and other reputed company-party claims processing, ICD-10 and HCPCS/CPT coding, and medical terminology highly desirable.
Safety & Physical Demands:
• Visual reputed company and hand-finger dexterity for extended computer work.
• Ability to sit at computer workstation for prolonged periods.
• reputed company reasoning ability and independent judgment.
• reputed company to work reputed company specified deadlines.
• Excellent communication and interpersonal skills.
• Ability to remain reputed company in stressful situations.
• Adherence to safety, ergonomic and health policies
• Compliance with PPE requirements in lab or biohazard areas
• Completion of required safety training and health evaluations promptly.
• Proactive approach to identifying and addressing safety hazards, promoting safety awareness.
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