Work Set-Up: 100% Onsite

Duties and Responsibilities:

• Work Hold Buckets

• Make corrections to the following:

• Provider information

• Patient insurance discrepancies

• Credentialing information

• Patient demographics

• Other issues as requested

• Provide the following:

• Additional documentation requested

• Missing referral/authorizations

• Work Manager Hold Buckets

• Provide additional documentation requested

• Address patient insurance issues, including:

• Medical policy

• Benefits coverage

• Coordination of benefits

• Other

• Respond to questions regarding coding clarification

• Work Charge Entry for Office and Procedures

• Review claims to optimize coding and ensure all procedures, tests, etc., were billed

• Enter charges by the end of the business day following provider's closing encounter

• Double check schedule with charge entry to identify any missing slips

• Review Insurance Refunds Worklist

• Review and confirm insurance refunds before presenting to the practice

• Ensure refunds are properly handled

• Review Patient Refund Worklist

• Review and confirm patient refunds before presenting to practice

• Coordinate payment with practice manager and/or physician(s)

• Work Unpostables

• Gather EOBs, scan and upload into Athena

• Review Collections Worklist

• Review collections weekly

• Follow strict protocol regarding patient letters and phone calls regarding payment

• Call patients requesting payment in-full or work-out payment arrangements

• Send patients ready for collections directly to practice or collection agency

• Review Claim Attachment Error Queue

• Review and correct claim attachment errors

• Review claim attachment faxes that Athena did not associate with a claim

• Review Zero Pay Report

• Review for underpayment

• Initiate corrections

• Review and provide Practice Reports monthly or upon request

• Run A/R Aging Wizard

• Denial Report

• Run Activity Wizard

• Present reports with recommendations for improvement, as needed

Skills Requirements:

• Excellent communication skills, both oral and written

• Ability to organize and prioritize multiple deliverables

• Ability to work and think independently

• Attention to detail and strong emphasis on quality

• Ability to research and problem solve

• Ability to work collaboratively within the department

• Ability to work with multiple screens and/or systems to maintain productivity standards

Job Requirements:

• Bachelor's Degree of any related field

• Minimum of 4 year's+ experience in medical billing.

• Experience in using Athena is a must.

• A proactive mindset coupled with outstanding prioritization and task management skills, demonstrating your ability to handle a high volume of tasks daily.

• Proficiency in following complex process workflows accurately and efficiently.

• Exceptional follow-through skills, complemented by excellent written and verbal communication abilities.

• Proficiency in data analysis and spreadsheet management.

• US Client experience is a plus.

WHY INTELASSIST?

We grow together. We value your effort. We aim to empower you.