About the position
Responsibilities
• Contact Work Comp Carriers, TPAs, and Self-Insured Employers to follow up on outstanding account receivable balances.
• Identify billing errors and handle corrections and resubmissions of claims to the appropriate carriers or employers.
• Follow up on payment errors, low balance reimbursements, and denials.
• Review EOBs (Explanation of Benefits) and initiate appeals as needed.
• Process UB04s and HCFA 1500s either electronically or by mail to resolve accounts.
• Stay current on all Work Comp pricing models, rules, and regulations.
• Adhere to HIPAA and compliance policies, including notifying management of any compliance concerns or incidents.
Requirements
• High School Diploma or GED required.
• 2+ years of healthcare insurance accounts receivable follow up experience.
• Experience navigating payer sites for appeals, reconsiderations, benefit verification, and online claims follow up.
• Knowledge of accounts receivables practices, medical office procedures, coordination of benefits rules, and third party payer billing and reimbursement practices.
• Familiarity with Work Comp industry and billing procedures is a plus.
• Proven ability to work both independently and as part of a team.
Nice-to-haves
• Proficiency with Microsoft Office products (Outlook, Word, Excel, Teams).
• Ability to type 60 words per minute.
Benefits
• Discretionary bonuses.
• Medical benefits.
• Dental benefits.
• Vision benefits.
• 401(k) retirement plan.
