Job description

• Contacts insurance carriers to inquire about unpaid/pending claims (Aged Outstanding Insurance Claims Report).
• Re-filing claims to insurance vendors electronically or on paper.
• Notes actions taken in patients’ accounts by use of Fast Notes, collection, billing and/or insurance notes.
• Resolves denials, rejected and zero EOBs (explanation of benefits) from insurance carriers.
• Review charts for submission to physicians to for letter of medical necessity for outstanding claims
• Prints out medical notes for claim processing for payments
• Ensures all HIPAA regulations are adhered to
• Follows company policies and procedures
• Review and answer chart flags
• Navigate through the EMR to find the required patient medical information.
• Communicates effectively with other staff at outside facilities.
• Prioritizes workload and develops system to track prior authorizations needing additional follow-up.
• Takes personal responsibility for work. Fosters teamwork, taking initiative to teach pre-authorization team members, clinic staff, and management about pre-authorization processes and insurance requirements.
• Maintains confidentiality of patient records
• Performs other duties/projects as assigned

Qualifications:

• Qualified candidates must possess the ability to analyze, retain, and resolve issues and provide superior customer service to client base.
• Able to work independently and productively, be organized.
• Knowledge of basic Excel.
• Ability to be a team player, communicate effectively and meet deadlines.
• Minimum of three years previous billing experience required, health care industry experience preferred.

Job Type: Full-time

Pay: $28.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Stamford, CT: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)

Experience:

• ICD-10: 1 year (Required)
• Medical billing: 3 years (Required)

Shift availability:

• Day Shift (Required)

Work Location: One location

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