A/R Billing Specialist — Patient Claims & Reconciliation

Grady-Health-System; Atlanta (GA); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Health benefits

Retirement plan

Paid time off

Tuition reimbursement

Employee Assistance Program

Job summary

Grady Health System in Atlanta is seeking an Accounts Receivables Representative to assist in reviewing and resolving hospital claims. You will monitor queues, work with third-party payers, and ensure accurate posting of payments and denials with an eye for timely reimbursement.

A strong understanding of CPT, ICD-9/HCPCS codes and UB-04 billing is required, along with experience in Medicare/Medicaid rules and Epic.

Qualifications

• Hands on knowledge of CPT, ICD-9, HCPCS, revenue codes and hospital billing terminology.
• Knowledge of Outpatient Code Editor (OCE) and Correct Coding Initiative (CCI) edits.
• Job related experience in health care revenue cycle.
• Demonstrated service and success in teamwork and consistent high productivity and quality.
• Working knowledge of Medicare Secondary payer as well as medical necessity requirements.
• Epic experience
• Hands on Knowledge of Medicare and Medicaid regulations, UB-04, HCFA, 1500 claims forms billing and follow up functions both electronic and manual.

Responsibilities

• Monitor work queues containing claim errors, DNBs and rejections and perform timely submission.
• Respond to Vendor requests in a timely and professional manner.
• Post, balance, and reconcile patient account payments for Accounts Receivable.
• Post denial information and other pertinent follow-up information.
• Monitor A/R Aging by payer to ensure billing has been submitted timely for primary and secondary payers.
• Collect Private pay balances to ensure statements are processed and paid promptly.
• Verify insurance liability and patient liability are correct; close batches and reconcile cash control amounts.

Skills

Medical billing

Revenue cycle

EOB understanding

Microsoft Excel

Communication

Time management

Education

Associate degree

Tools

Epic

Job description

Grady Health System in Atlanta is seeking an Accounts Receivables Representative to assist in reviewing and resolving hospital claims. You will monitor queues, work with third-party payers, and ensure accurate posting of payments and denials with an eye for timely reimbursement.

A strong understanding of CPT, ICD-9/HCPCS codes and UB-04 billing is required, along with experience in Medicare/Medicaid rules and Epic.