Prepares and submits clean claims to third party payers either electronically or by paper. Collaborates with patients, third party payers and other billing associates to resolve billing inconsistencies and errors. Completes Medicare replacement crossovers as needed. Processes and submits insurance refund request, as necessary. Processes medical bills by sending them to patients and/ or third party payers as necessary. Follows up on delinquent payments and resubmits billing as necessary. Handles patient inquiries and answers questions from clerical staff and insurance companies. Identifies and resolves claim denials. Rebills adjusted and/ or corrected claims to third party payers. Processes appeals online or via paper submission and submits to the appropriate third party payer. Prepares and runs appropriate reports to identify and resolve outstanding claims and claim denials. Posts appropriate adjustments, payments and transfers responsibility and/or refunds to patients or the third party payer, as necessary. Identify trends, and carrier issues relating to billing and reimbursements. Monitors and follows up on large insurance projects with bayou health plan. Assures coding is compliant and up to date. Verifies and corrects patients insurance carrier, as needed. Trains new hires as needed. Converts and analyzes RHC claims as necessary and resubmits to the appropriate third party payer. (Medicaid Bayou Health Plans) Assist, educate, and advise patients with their billing questions, as needed. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Job Type:

Full-time Pay:

$15.00 - $22.00 per hour

Benefits:

401(k) Dental insurance Employee discount Health insurance Life insurance Paid time off Vision insurance

Experience:

ICD-10: 1 year (Preferred)

Work Location:

In person