Duties

• Review, understand, and work on unpaid and denied claims using QMS aging reports and clearinghouse worklists and reporting tools.
• Identify trends in the aging reports and collaborate with payers to improve response/payment turnaround times.
• Initiate appeal requests according to payer guidelines.
• Research and understand payer contracts; identify timely filing and appeal deadlines.
• Manage worklists and reports in the external clearinghouse for unpaid or denied claims.
• Maintain follow-up notes in QMS.
• Demonstrate working knowledge of Clinical EMR, billing systems, and any external clearinghouses used.
• Provide exceptional customer service to all payers.
• Respond promptly to all correspondence (fax, email, telephone, mail) and ensure that all timely filing deadlines are met.
• Ensure the confidentiality of patient and employee information in compliance with HIPAA guidelines.
• Foster harmonious and constructive working relationships with all staff members to promote a positive and productive atmosphere.

Once permanent

• Flexible schedule (after 90-120 days of good standing).
• Growth opportunities (all managers have been with the company for over 4 years).
• Health, dental, and vision insurance.
• 401K.
• Bonuses in addition to hourly pay.
• Gym cost reimbursement.
• Option to work hybrid or remote after becoming a full-time employee.

Qualifications

• High school diploma or GED.
• Proficient with computers, multiple programs/windows, and Excel.
• Accounts Receivable experience (open to new graduates).
• Knowledge of Medicare Advantage.

Nice to Have Skills

• Medical Billing and Coding Diploma
• Fast learner

Soft Skill Requirements

• Problem-solver
• Team player

Schedule

• Monday to Friday, 8:00AM to 5:00PM

• $17 to $21 an hour