Insurance Financial Billing Specialist - Medical Billing
Description
POSITION SUMMARY
Responsible for various insurance billing and collection functions as part of the physician revenue cycle process in athena. This includes working remittances, managing capitation, incentives and program payments, payment batching, follow-up, customer service, adjustments, resolving rejections through denial management and claims appeals coming back in the athena worklists in a timely manner, solving the claim holds in the Unpostable Dashboard and in the Correspondence Dashboard. Position is also responsible for all corporate programs, invoicing and reconciliation along with working the zero pay and the fully worked claim receivable reports.
JOB SPECIFIC ESSENTIAL FUNCTIONS
Locate missing remits. Create web-portal access. Confirm deposits. Download non-athena remittances and confirm placement of funds. Submit remittances and correspondences to athena ensuring correct bank account placement. Capitation and incentive allocations and reconciliation Program payment allocation and reconciliation Work the Unpostable Dashboard Balance Forwards.
POSITION QUALIFICATIONS
Minimum: High School graduate or equivalent
Preferred: Post high school education
Minimum: Six months medical billing experience or related clerical experience, with an understanding of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans, as well as an understanding of ICD-10 and CPT coding and medical terminology
Preferred: Two years medical billing or related clerical experience (with completion of billing program and certification in billing).
SHIFT/LOCATION
-40 hours per week, full time, days, no weekends, benefit eligible
- PLEASE NOTE: this position will require travel/commute to attend 2nd round manager interview, orientation, training, and work in the Muskegon, MI Billing Office, then position will transition to sit in the Kentwood/Grand Rapids, MI Billing Office.