Job Description

Job Description

Job Description

JOB TITLE: Billing Specialist III

DEPARTMENT: Business Office

GENERAL SUMMARY OF DUTIES: Responsible for filing and tracking insurance claims for the assigned alpha split. Work Insurance and Patient Aging for complete resolution of accounts. Successfully receiving payment on all assigned claims through timely claim resolution, which includes researching and resolving insurance claim disputes, providing corrected billing, and submitting appeals. Initiative to thoroughly understand all AHI services is strongly recommended.

ESSENTIAL FUNCTIONS:

1. Stay current with coding and billing guidelines for all and each payer, including but not limited to CMS, Noridian Medicare, VA, Triwest, Tricare, Aetna, Premera, Cigna and other third-party payers
2. Professional and HIPAA compliant interactions with patients, insurance companies, Alaska Heart & Vascular Institute (AHVI) providers and staff, outside healthcare professionals and other agencies
3. Work the clearinghouse rejections in prompt manner
4. Paper claim submission with appropriate EOBs and any other required paperwork
5. Complete and thorough research of all claims subject to insurance dispute or review
6. Consistent follow through of aging reports to ensure timely payment by payers
7. Concise yet detailed and accurate notes in accounts and/or tickets for efficient communication with coworkers
8. Accurate information in accounts and tickets to maintain adequate audit trail

PAY RANGE: $23-33/HR dependent upon experience and education.

EMPLOYEE BENEFITS:

• Medical
• Dental
• Vision
• Colonial Life Elective Benefits
• Life Insurance
• Profit Sharing 401K
• HSA
• FSA
• Employee Assistance Program
• Wellness Program
• PTO- starting at up to 5.84 hours per pay period (increases with years of service)
• 8 paid holidays per year
• FMLA

This job description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

Qualifications

Education: Preferred: Some college or continuing education preferred. Minimum: High School diploma

Experience: Minimum: Two years of experience in medical billing office with emphasis on insurance research and claim follow-up

Certificate/License: Certified Professional Biller (CPB) or Certified Coder (CPC) required from AAPC

Company Description

As a well-respected and established group, we are recruiting to meet the increased demand for our services. We are actively involved in cardiovascular research and the latest technology in ICD, pacemakers, CHF, Cardiac MRI, revascularization, and new drugs for coronary artery disease.

Company Description

As a well-respected and established group, we are recruiting to meet the increased demand for our services. We are actively involved in cardiovascular research and the latest technology in ICD, pacemakers, CHF, Cardiac MRI, revascularization, and new drugs for coronary artery disease.

Job Tags

Holiday work,

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