Our healthcare client in is looking for a Medical Claims and Billing Representative to help perform day-to-day activities required to process credit account balances from patients and insurances within the Hospital and/or Medical Group.
Serves as a member of a team at an assigned location responsible for reducing account receivable credits, communicating with insurance companies, and coordinating with the customer service team to communicate to patients regarding over-payments. Responsibilities require expertise in determining the root cause of credit balances and in taking the appropriate steps to resolve issues resulting in full adjudication of an account.
Work activities include posting payments and rejections from insurance companies and re-billing claims as needed to maintain manageable credit accounts receivable and to ensure accurate submission of claims and patient statements.
- Performs daily activities of the Payment Posting team which reviews, monitors and performs follow up on insurance, patient, and Medicare credit accounts receivable as part of the revenue cycle process for an assigned location
- Documents corrections regarding discrepancies created, and outstanding items and exceptions in appropriate systems regarding rejections and follow up activities performed in order to enable others to review claim history on all accounts.
Please visit http://www.morganstephens.com
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