Primary Duties and Responsibilities: Responsible for physician and clinic insurance claims follow up in Athena system. Underpayments; denials; appeals; confirmation of payment according to contract; contractual allowances; ensuring accurate reimbursement and account resolution. Accurately and thoroughly document the activity performed in systems using established processes. Review account information and necessary system applications to determine subsequent work action. Verify claims resolution utilizing appropriate resources and applications. Perform appropriate billing functions, including re-bills for claims as well as electronic submission to payers and insurance follow up. Identifies problem delinquencies and recommends their disposition. Independently interacts with federal, state, third party payors, agencies, physicians, patients, departmental directors and outside related vendors and clients. Hourly Pay is based on knowledge and experience.
KNOWLEDGE, SKILLS, AND ABILITIES - To perform this job to its fullest and be successful an individual must be able to perform each necessary task satisfactorily. The qualifications below are representative of the knowledge, skill and/or ability we are seeking in applicants. Knowledge of complete Healthcare Revenue Cycle is a PLUS. Prior experience in resolving payer claims is REQUIRED! Experience working in the Athena system is required.
Qualifications:
Good written and verbal communication skills; Excellent customer service skills; Technical skills including PC, MS Outlook
Knowledge of medical terms, interpretation of Explanation of Benefits, filing appeals, filing corrected claims, analyzing insurance underpayments, CPT and ICD codes and billing forms. Experience working with Medicare and Medicaid a plus!
Knowledge of insurance verification, billing, and insurance terminology
Minimum keyboarding/typing speed of 45 wpm
EDUCATION/EXPERIENCE
High School diploma or equivalent education
Minimum 1 year medical office or hospital business office experience in following up and collecting on insurance claims, with 3 years preferred. Familiarity with medical coding/billing.
Working knowledge of computer, calculator, and general office equipment. 10 key experience. On-line insurance verification and claims status experience is preferred. Experience with ATHENA patient accounting system REQUIRED!
Job Type: Full-time
Pay: $18.00 - $21.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
Education:
- High school or equivalent (Required)
Experience:
- Medical business office: 1 year (Required)
Ability to Relocate:
- San Antonio, TX 78249: Relocate before starting work (Required)
Work Location: In person