Primary Duties and Responsibilities:

NEW PROJECT!

! Responsible for physician, clinic, and hospital claims follow up for

LARGE MEDICAL

PRACTICE and

HOSPITAL

. Working clearinghouse edits to correct claims and push out. Underpayments; denials; appeals; confirmation of payment according to contract; contractual allowances; ensuring accurate reimbursement and account resolution. Accurately and thoroughly document the activity performed in systems using established processes. Review account information and necessary system applications to determine subsequent work action. Verify claims resolution utilizing appropriate resources and applications. Perform appropriate billing functions, including re-bills for claims as well as electronic submission to payers and insurance follow up. Identifies problem delinquencies and recommends their disposition. Independently interacts with federal, state, third party payors, agencies, physicians, patients, departmental directors and outside related vendors and clients. Hourly Pay is based on knowledge and experience . Clean background check required.

KNOWLEDGE, SKILLS, AND ABILITIES

- To perform this job to its fullest and be successful an individual must be able to perform each necessary task satisfactorily. The qualifications below are representative of the knowledge, skill and/or ability we are seeking in applicants. Knowledge of complete Healthcare Revenue Cycle is a PLUS. Prior experience in resolving payer claims is

REQUIRED!

Experience working in Oracle/Cerner, Cerner Community Works, EPIC, or Imagine patient accounting systems is a plus!

Qualifications:

Good written and verbal communication skills; Excellent customer service skills; Technical skills including PC, MS Outlook, Excel, Word. Knowledge of medical terms, interpretation of Explanation of Benefits, filing appeals, filing corrected claims, analyzing insurance underpayments, CPT and ICD codes, modifiers, and billing forms. Experience working with Medicare a plus! Knowledge of insurance verification, billing, and insurance terminology Minimum keyboarding/typing speed of 45 wpm

EDUCATION/EXPERIENCE

High School diploma or equivalent education Minimum 1 year medical office or hospital business office experience in following up and collecting on insurance claims, with 3 years preferred. Familiarity with medical coding/billing. Experience on Athena or Imagine a plus. Working knowledge of computer, calculator, and general office equipment. 10 key experience. On-line insurance verification and claims status experience is preferred.

Job Type:

Full-time Pay:

$17.00 - $22.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance Application Question(s): Do you have a clean background check?

Education:

High school or equivalent (Preferred)

Experience:

Hospital Medical Claims:

1 year (Required) Ability to

Commute:

San Antonio, TX 78216 (Required) Ability to

Relocate:

San Antonio, TX 78216: Relocate before starting work (Required)

Work Location:

In person