Health Billing Resolution Rep I

at MedAssistSolutions.com

Miami, FL

Posted on Feb. 18, 2016

GENERAL SUMMARY:

The goal of the Account Resolution Specialist l is to successfully collect on aging medical insurance
claims, either in the office or at the client site.

FOUNDATION KNOWLEDGE, SKILLS, AND/OR ABILITIES REQUIRED: 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

* File claims using all appropriate forms and attachments.
* Research account denials and file written appeals, when necessary.
* Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
* Research account information to determine the necessary attachments or supporting documentation to send with each claim.
* Ensure the integrity of each claim that is billed.
* Document in detail all efforts in CUBS system and any other computer system necessary.
* Verify patient information and benefits.
* Appeal accounts in writing.
* Draft letters to clients.

ADDITIONAL DUTIES AND RESPONSIBILITIES:

* Meet specified goals and objectives as assigned by management on a regular basis.
* Maintain confidentiality of account information at all times.
* Maintain awareness of and actively participate in the Corporate Compliance Program.
* Assist with other projects as assigned by management
* Maintain good working relationships with state and Federal agencies.
* Resolve accounts in a timely manner.

Maintain a neat and orderly work station

JOB REQUIREMENTS

EDUCATIONAL/VOCATIONAL/PREVIOUS EXPERIENCE RECOMMENDATIONS:

* High school diploma or equivalent is required.
* Formal training in the specialty of Insurance Billing preferred.
* Knowledge of all insurance payers preferred.
* Proficient PC knowledge and the ability to type 30-40 wpm.
* Professional written and verbal communication skills.
* Capacity to prioritize multiple tasks in a busy work environment.
* Organization and time management skills.
* Capability to present oneself in a courteous and professional manner at all times.
* Ability to stay on task with little or no supervision.

MEDASSIST SOLUTIONS, LLC. IS AN EQUAL OPPORTUNITY EMPLOYER THAT DOES NOT DISCRIMINATE ON THE BASIS OF AGE (40 & OVER), RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, PROTECTED VETERAN STATUS, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY OR ANY OTHER PROTECTED CLASS IN ACCORDANCE WITH APPLICABLE LAWS.

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