Medical Billing / Accounts Receivable
Company: Kforce Finance and Accounting
Location: Plano
Posted on: January 15, 2021
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Job Description:
RESPONSIBILITIES:Kforce has a client in search of a Medical
Billing/Accounts Receivable in Plano, TX. Summary: The main
function of a medical biller is to submit medical claims to
insurance companies and payers such as Medicare and Medicaid.
Responsible for the timely submission of technical or professional
medical claims to insurance companies. The position may be located
in physician offices, hospitals, nursing homes, or other healthcare
facilities. Job Responsibilities: * Obtain referrals and
pre-authorizations as required for procedures* Check eligibility
and benefit verification* Review patient bills for accuracy and
completeness and obtain any missing information* Prepare, review,
and transmit claims using billing software, including electronic
and paper claim processing* Follow up on unpaid claims within
standard billing cycle timeframe* Check each insurance payment for
accuracy and compliance with contract discount* Call insurance
companies regarding any discrepancy in payments if necessary*
Identify and bill secondary or tertiary insurances* All accounts
are to be reviewed for insurance or patient follow-up* Research and
appeal denied claims* Answer all patient or insurance telephone
inquiries pertaining to assigned accounts* Set up patient payment
plans and work collection accounts* Update billing software with
rate changes* Updates cash spreadsheet, runs collection reportsJob
Requirements:REQUIREMENTS:* High School diploma/GED* Knowledge of
business and accounting processes usually obtained from an
Associate's degree, with a degree in Business Administration,
Accounting, or Health Care Administration preferred* 5 to 7 years
of experience* Knowledge of HMO/PPO, Medicare, Medicaid, and other
payer requirements and systems* Use of computer systems, software,
10 key calculator* Effective communication abilities for phone
contacts with insurance payers to resolve issues* Customer service
skills for interacting with patients regarding medical claims and
payments, including communicating with patients and family members
of diverse ages and backgrounds* Able to work in a team
environment* Problem-solving skills to research and resolve
discrepancies, denials, appeals, collections* Knowledge of
accounting and bookkeeping procedures* Knowledge of medical
terminology likely to be encountered in medical claimsKforce is an
Equal Opportunity/Affirmative Action Employer. All qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, pregnancy, sexual orientation,
gender identity, national origin, age, protected veteran status, or
disability status.SDL2017
Keywords: Kforce Finance and Accounting, Plano , Medical Billing / Accounts Receivable, Accounting, Auditing , Plano, Texas
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