Job Information
United Musculoskeletal Partners Billing Specialist in Plano, Texas
DESCRIPTION
Job Summary: Responsible for submitting claims, appeals, and following up on outstanding balances from the patients insurance. Responsible for solving all claim denials.
Essential Duties and Responsibilities: The essential duties of the position include the following. Other duties may be assigned.
Key Functions:
Prepares and submit clean claims to various insurance companies either electronically or on paper.
Contact carriers by phone or website for claim status on outstanding insurance balances.
Process and work all insurance correspondence.
Perform various collection actions including contacting patients by phone, correct and resubmitting claims to other carriers.
Obtain necessary documentation required to submit to insurance to expedite payments.
Answers questions from patients, clerical staff and insurance companies.
Identify and resolve patient billing complaints.
Prepare appeal letters for all claims that are denied for payment.
Document all collection activities using guidelines in place.
Identify underpayments by checking payments received against our contracted fee schedule.
Work and process all insurance refund requests.
Report payer issues or delays to supervisor.
Participate in educational activities
Maintains strict confidentiality; adhere to all HIPAA guidelines/regulations.
Team Player with ability to solve problems and recommend solutions.
Must be able to manage assigned workload and prioritize accordingly.
Maintain accurate and timely reconciliation of accounts receivable.
Review claims stopped in the claim scrubber.
Work Claims rejected by the clearinghouse.
REQUIREMENTS
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience: High School Diploma or GED, and minimum one year experience in a medical billing/collections field.
Company: United Musculoskeletal Partners
Job Type: Full-time
Address: 3465 National Dr, Plano, TX, 75025-1098