Healthcare Billing Specialist – AR, Claims & Denials

ACCESS SPORTS MEDICINE & ORTHOPAEDICS PLLC; Exeter (NH); On-site; USD 25,000 - 32,000; Full time

Job summary

ACCESS SPORTS MEDICINE & ORTHOPAEDICS PLLC in Exeter, NH is seeking a Billing Specialist to manage accurate and timely billing for all services offered. The role reports to the Billing Manager in a non-exempt, full-time capacity.

The Billing Specialist will follow up on AR, process insurance payments, interpret EOBs, research and resubmit denied claims, and prepare remittances. A high school diploma is required; an associate degree and 1-2 years of healthcare claims experience are preferred.

Qualifications

• High School graduate or equivalent.
• Associates degree preferred; 1-2 years of healthcare insurance claim resolution.

Responsibilities

• Follow up and timely resolution of outstanding AR accounts as directed.
• Process insurance payments and prompt follow up and resolution of any payment issues.
• Interpret and process explanation of benefits.
• Research, correct, and resubmit rejected and denied claims.
• Prepare appeals for denied claims as necessary.
• Work aging accounts based on insurances assigned.
• Maintain complete and accurate billing and accounts receivable records.
• Prepare Medicare, Medicaid, private payer and patient remittances for data entry.
• Establish and maintain positive working relationships with internal and external customers.
• Ability to accurately review and verify documentation of procedures.
• Excellent phone etiquette to field patient billing phone calls.
• Knowledgeable of office equipment functions-faxing, scanning, etc.
• Ability to effectively train new staff members.
• Handle and maintain the confidentiality of patient and organizational information at all times.
• Builds and promotes a culture of service excellence and continuous improvement.
• Attendance: works as scheduled and is compliant with Attendance and Tardiness Policy.
• Perform other specific projects related to collections, billing, data entry, and computer operations as required.
• Perform all other duties as assigned.

Education

High School diploma or equivalent

Associates degree

Job description

ACCESS SPORTS MEDICINE & ORTHOPAEDICS PLLC in Exeter, NH is seeking a Billing Specialist to manage accurate and timely billing for all services offered. The role reports to the Billing Manager in a non-exempt, full-time capacity.

The Billing Specialist will follow up on AR, process insurance payments, interpret EOBs, research and resubmit denied claims, and prepare remittances. A high school diploma is required; an associate degree and 1-2 years of healthcare claims experience are preferred.