Medical Billing/Accounts Receivable Specialist
KVC Health Systems is seeking a Medical Billing/ Accounts Receivable Specialist. This position will be a full-time, goal-oriented, revenue-driven, highly accurate and motivated Biller. Primary duties include but are not limited to: consistently follow up on unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement. Secondary duties include but are not limited to: data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits. Behavioral health billing preferred but not required.
REQUIRED SKILLS
Computer experience is essential, including, but not limited to: practice management software, word processing and spreadsheet applications.
Experience in CPT and ICD-9 coding; familiarity with medical terminology.
Excellent customer service skills.
Strong written and verbal communication skills.
Ability to manage relationships with various Insurance payers.
Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
Responsible use of confidential information.
Perform to company standards of compliance with policies and procedures.
Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.
DETAILED WORK ACTIVITIES
Ensure all claims are submitted with a goal of zero errors.
Verifies completeness and accuracy of all claims prior to submission.
Accurately Post all insurance payments by line item.
Timely follow up on insurance claim denials, exceptions or exclusions.
Meet deadlines.
Reading and interpreting insurance explanation of benefits.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients and providers.
Regularly meet with Account Manager to discuss and resolve reimbursement issues or billing obstacles.
Regularly attend monthly staff meetings and continuing educational sessions as requested.
Perform additional duties as requested by Supervisory or Management team.
Qualifications-
One year of experience in Accounts Receivable/ Medical Billing.
Experience with behavioral health preferred, but not required.
High school diploma or general education degree (GED); One year certificate from college or technical school preferred; 3-5 year of experience and/or training; or equivalent combination of education and experience
Qualifications
Education
Required
High School or better.
Preferred
Some college or better.
Experience
Preferred
3 years: High school diploma or general education degree (GED); One year certificate from college or technical school preferred; 3-5 year of experience and/or training; or equivalent combination of education and experience