Accounts Research Specialist – TMG Billing (Days) Position Available In Carroll, Georgia
Tallo's Job Summary: Responsible for day-to-day follow-up of Medicare, Medicare Advantage plans, Medicaid, CMOs, and commercial insurance claims, reviewing aging reports, resolving problem areas, and working on rejections and denials. Requires a high school diploma or GED and two years of related experience. Must have knowledge of specialized practices, equipment, and procedures, as well as strong organizational, analytical, and communication skills.
Job Description
Accounts Research Specialist – TMG Billing (Days)
Carrollton, GA
Administrative or Clerical
25-317
Job Description
Responsible for day to day follow-up of Medicare, Medicare Advantage plans, Medicaid, CMOs, and commercial insurance claims, and the review of aging reports to identify and resolve problem areas. Also includes the working of all rejections and denials accurately and efficiently. Necessary to prioritize work, formulate a plan of action, and analyze results, as well as communicate trends and billing coding issues.
Education
High School Diploma or GED
Experience
Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.
Qualifications
- Ability to meticulously organize, analyze, and prioritize workload, and perform responsibilities with integrity. Ability to communicate issues to CBO management and offer a resolution.
- Ability to work professionally and closely with others, and function as a team member.
- Exhibit exceptional communication skills verbally and in writing.
- Minimum of two years experience in insurance and patient billing, and AR, which includes credits, refunds, offsets, and posting payments.
- Possess a comprehension of working and analyzing AR to resolve claim denials timely, and keep AR days, and greater than 90-day AR categories below MGMA standards.
- Working knowledge of
CPT & ICD
Coding, and medical terminology required.
