Medical Billler

Medical Billler PCC Community Wellness Center - 2.7 Oak Park, IL Job Details Full-time $20.50 - $23.00 an hour 3 hours ago Benefits Health insurance Dental insurance Qualifications Customer communication Accounts receivable management Customer inquiry handling

Full Job Description Job Summary:

Responsible for performing revenue cycle functions for all medical and/or dental claims for PCC Community Wellness Center, to ensure accurate, timely claim follow up for aged accounts. The Revenue Cycle Rep works collaboratively with Providers, Care Coordinators, Operations, and Revenue Cycle leadership to eliminate department bottlenecks and waist while increasing cash flow and promoting revenue growth.

Essential Duties and Responsibilities:

1. Continually monitor claim volume and aging. Actively follow up on aged pending claims that require resolution or next action for payment for assigned facilities 2. Review, resolve and release claims within 48 hours of claim creation date for assigned facilities 3. Review and resolve 100 claims daily (minimum); yielding reimbursement daily for assigned facilities 4. Resolve state funded claims prior to 180 days outstanding, perform A/R functions on older dates of service with sense of urgency for assigned facilities 5. Resolve federal funded claims prior to 365 days outstanding, perform A/R functions on older dates of service with sense of urgency for assigned facilities 6. Resolve commercial funded claims prior to 90 days outstanding, perform A/R functions on older states of service with a sense of urgency for assigned facilities 7. Initiates write off requests for claims for timely monthly processing for assigned facilities 8. Monitor global transaction report to eliminate incorrect claims adjustments, promoting accurate and timely claim submission for reimbursement for assigned facilities 9. Maintains DSO of