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GENERAL OVERVIEW:

This job is responsible for providing support, covering all aspects of insurance billing, claims follow up and collections, including direct contact to the appropriate third-party payers for all unpaid claims including denied claims and those requiring appeal.

ESSENTIAL RESPONSIBILITIES:

• Ensures efficient processing of billing claims, insurance follow up, collection activities and denials. Assists in meeting cash collection goals by reviewing, completing, and submitting appropriate documentation based on payer requirements.
• Performs billing, follow-up and collection functions for third parties, resolving issues that impact or delay claims payment. Communicates information and ideas to make system-wide process improvements. Updates data regarding changes and modifications in plan benefits and other contract information relevant to the billing or claims follow up and collection process.
• Reviews and responds to correspondence and inquiries generated by third party payers. Provides medical record copies and other pertinent information to the appropriate sources throughout the billing and collection process. Works collaboratively to facilitate the insurance billing and collections process to improve overall cash collection.
• Supports overall Revenue Cycle processes to achieve established targets and goals, including the completion of special/specific assigned projects or tasks.
• Monitors the status of denials, appeals, and claim errors by using folders/work queues and conducting routine, periodic follow up on previously researched claims items. Monitors, reviews, and suggests revisions or updates to existing forms, documents, and processes required to facilitate timely billing and collections.
• Ensures completeness of claims by following national, local, and internal billing requirements promoting prompt and accurate submission and payment. Maintains awareness of current regulations. Initiates practices that support current regulations.
• Serves as support staff for various departments.
• Performs other duties as assigned or required.

OB/GYN Experience a Plus

Greenway Intergy Experience a Plus

Job Type: Full-time

Pay: $17.00 - $21.00 per hour

Benefits:

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

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Flowood, MS 39232: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• ICD-10: 2 years (Preferred)

Work Location: One location