Occupational Health Biller | Growth & Benefits

msaphy; Virginia Beach (VA); On-site; USD 21,000 - 37,000; Full time

Benefits offered by this job

Full-time benefits package

Collaborative, supportive team culture

Opportunities for professional growth

Job summary

Bayview Physicians Group in Virginia Beach seeks a full-time Medical Claims Specialist to review and process occupational health and workers’ compensation payments, verify eligibility, and resubmit denied or unprocessed claims. The role emphasizes accuracy, timely follow-up, and maintaining confidentiality in patient accounts.

Qualifications include a high school diploma and at least 1 year of medical-related experience.

Qualifications

• High school graduate or equivalent.
• Minimum of 1-year previous medical experience required.

Responsibilities

• Reviewing and addressing occupational health claims to ensure proper payments are received according to the payers' contract.
• Reviewing unprocessed claims within the payers' timely filing limits for resubmission of claims for payment.
• Researching Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patient accounts.
• Researching Eligibility of Benefits (EOB) to determine if unpaid balances need to be appealed to the appropriate Worker's Compensation Committee.
• Researching denied claims or claims with no response to determine proper follow up steps be take to obtain payment.
• Correcting registrations on Worker's Compensation accounts and refiling claims.
• Addressing account inquiries and/or update requests in a timely manner.
• Establishing and maintaining a working relationship with payer representatives to ensure proper claim filing and reimbursement.
• Effectively communicate trends or issues to the appropriate staff.
• Maintains confidentiality in regards to patient account status and the financial affairs of the clinic/corporation.
• Regular and reliable attendance.
• Presents to work on time as scheduled.
• Perform other duties as assigned by supervisor.
• Posting occupational health and worker's compensation payments.
• Answer client inquiries via phone and email daily.

Job description

Bayview Physicians Group in Virginia Beach seeks a full-time Medical Claims Specialist to review and process occupational health and workers’ compensation payments, verify eligibility, and resubmit denied or unprocessed claims. The role emphasizes accuracy, timely follow-up, and maintaining confidentiality in patient accounts.

Qualifications include a high school diploma and at least 1 year of medical-related experience.