Medical Billing Assistant

One of the top healthcare providers in the area is hiring for...

Billing Assistant

Description

• Review and accurately process claim edits in a system work queue.

• Accurately handle claim adjustments and coverage changes as needed.

• Review and process claim denials according to established processes.

• Research and resolve denial issues via the payer website, coverage policies and/or phone calls to the payer.

• Submit corrected claims and appeals.

• Process account adjustments and refunds as needed according to department policy and procedure.

• Document actions appropriately and follow-up with payers to ensure they take actions promised. Follow-up on claims with no responses.

• Manage large workload using tracking tools to ensure we don't fail to follow-up before a payer's deadline.

• Participate in team meetings which review new procedures, new denial types and system updates.

• Report problems and patterns to the supervisor to help keep policies and procedures up to date with new clinical programs and payer policy changes.

• Acquire and maintain knowledge of system terminology, claim/denial/coverage concepts and terms, and relevant HIPAA privacy rules and other regulations.

• Expertly use insurance websites to explore denial issues and resolve them using the tools in Epic, including accessing clinical documentation and authorization details.

• Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.