Description Position Summary: Responsible for the expedient collection of payment at the highest level of reimbursement allowed for the medical services provided for assigned physicians. Responsibilities/Accountabilities:Claims:
Reviews outstanding claims and follows up with insurance carriers regarding denials for specified physicians
reviewing aged report monthly.
Claims that remain unpaid should be followed up on no later than 60 days past submission.
Professionally communicates with physicians and their staff regarding reimbursement problems when
necessary.
Audits charges for optimal charge coding when needed. Communicates carrier claims denial patterns to
Supervisor.
Keeps up on changes in medical billing and coding procedures. Follows insurance carrier guidelines.
Communicates carrier updates to Supervisor.
Accurately records account receivable note of actions taken on each claim denial.
Collections:
Follows department collection guidelines and procedures for outstanding patient and insurance balances
related to assigned carriers and/or providers.Denials:
Submits corrected claims and appeals to insurance carriers timely. Accessing carrier websites when
applicable.
Responds to all types of correspondence within one week of receipt.
Customer Service and Communications:
Communicates with patients, insurance carriers and other outside entities in a professional manner.
Identifies solutions and responds professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc. Uses appropriate grammar and demonstrates tact and diplomacy in patient interactions, by phone and in person.
Diffuses negative situations with patients and maintains a pleasant and professional tone during stressful
circumstances and heavy workload.
Communicates with staff members in a professional, pleasant manner; Shares information relevant to work,
no gossiping or disparaging remarks, accepts work without complaint or provides reasons why assignment is unmanageable, asks and answers questions related to improving department performance Requirements Insurance Claims, Medical Claims, Audit Functions, Claims audits, Medical Office, Electronic Medical Record, EMR (Electronic Medical Records), EMR - Electronic Medical Records, Insurance Billing, Insurance Denials, Insurance Follow-up, Medical Insurance, Medical Insurance Billing, Patient Insurance, Medical Collections, Medical Collections, Patient Accounting, Patient Balance, Patient Collections, Patient Interaction, Patient Medical Records, Patient Payments Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .