Responsibilities.

• Review and attach patient notes, prepare and mail paper claims, etc.
• Mail organization, including sorting, delivering, and stamping.
• Print and deliver daily HCFA forms.
• Identify and resolve exclusion trends, and follow up and re-submit claims when necessary.
• Ensure first pass acceptance (FPA) and educate the team on any issues affecting FPA metrics.
• Maintain strict confidentiality and compliance, adhering to all HIPAA regulations.
• Retrieve notes, RX’s, and EOB’s from clinics using electronic medical records (EMR)
• Process secondary claims by printing HCFA and attaching primary EOB and sending to insurance companies
• Reliable and punctual in reporting for work and taking designated breaks.

Abilities and Knowledge

• Have knowledge of ICD-10 and CPT codes as well as insurance guidelines—especially Medicare and Medicaid.
• Must demonstrate flexibility and ability to multitask in a fast paced environment.
• Attention to detail, suggest areas of improvement.
• Be organized, ahead of schedule, communicative, and accountable.
• Excellent time management skills.
• Partner and foster working relationships with colleagues, members and vendors as applicable.

Education and Experience

Required:

• One year of experience in medical billing.
• Graduate from Recognized university