Job Description
Assist Ambulance is looking for a qualified Billing Specialist to join our team!
Responsibilities:
- Contact payers to verify claim status via phone or web and follow up on unpaid claims
- Process appeals on aged insurance claims/denials
- Identify insurance coverage limitations with thorough examination of claims documentation and related records
- Search and update insurance information and transfer the balance to correct payer
- Prevent financial delinquency by working closely with managers to resolve billing issues
- Ability to analyze, identify and resolve issues which may cause payer payment delays
- Identify and resolve claim edits through understanding of billing guidelines and payer requirements
- Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable
- Review all EOBs for correct payment, deductible, adjustments, and denials
- Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment
- Reconcile account balances, and verify payments are applied correctly
- Maintain well aged accounts, promptly resolve and resubmit denied unpaid claims in a timely and efficient manner
- Follow up on Appeals/corrected submitted claims
- Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
- Review and audit customer service account inquiries
- Receive inbound/outbound customer service calls
- Provide excellent customer service to all patients, Insurances & Facilities
- Review and correct all rejections in clearing house
- Other duties as assigned
Requirements:
- 3+ years billing follow-up experience with a high-volume practice or clinic, ambulance experience preferred
- Excellent organizational skills and the ability to multitask in a fast-paced environment
- Analytical - collects and researches data; uses intuition and experience to complement data
- Excellent Follow-up skills including appeals/reconsiderations
Job Type: Full-time
Pay: $45,000.00 - $65,000.00 per year
Schedule:
- 8 hour shift
- Monday to Friday
Ability to commute/relocate:
- Brooklyn, NY 11236: Reliably commute or planning to relocate before starting work (Required)
Work Location: In person