An established medical management company is seeking an experienced Account Representative for its business office located in Bingham Farms, MI. The company offers a casual environment, competitive pay, medical & dental benefits, paid holidays, generous retirement package and short-term disability.
JOB SUMMARY
Perform complex billing tasks involving account research and analysis, contract billing, refunds, adjustments and transfers.
Responsibilities and Duties
- Identify and analyze reasons for outstanding accounts, review payment and rejections from EOB / EOR and initiate appropriate action
- Pull insurance payments from clearing house and payer portals
- Contact insurance carriers regarding non-payment and/or improper payment of claims
- Reviewing and appealing unpaid and denied claims
- Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party
- Track and resolve discrepancies, based on partial payment and contracts
Qualifications and Skills
- Minimum of 2 years follow-up experience required
- Detailed knowledge of insurance billing to include CPT and ICD-10 coding, Medicare/Medicaid guidelines, HMO, PPO, and Capitations.
- Excellent communication skills and customer service skills with ability to handle difficult phone calls diplomatically, patiently, and calmly.
- Excellent working knowledge of insurance carriers’ payment and timely filing regulations
- Ability to work independently.
- Strong interpersonal and communications skills to be able to work successfully in a team-oriented environment.
- High attention to detail and the ability to multi-task.
- Ability to prioritize workload.
- Well versed in navigating insurance providers’ websites.
Benefits: Medical / Dental / Short Term Disability / 401K / PTO
Job Type: Full Time
