- San Antonio, Texas, United States
- Full-time · Associate
- 2+ years
Performs a variety of AR activities and related tasks in order to recognize the maximum reimbursement from each claim. Navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit the records required by the applicable insurance carrier or third party.
Responsibilities
- Understand and comply with all governmental, regulatory, company billing/AR and compliance regulations/policies assigned by payers
- Analyze EOBs and construct responses to insurance carriers based on claim adjudication
- Follow up with payers and other appropriate parties to collect open balances in a timely manner and to ensure compliance with payer guidelines
- Identify and report payer issues regarding rejection trends, denial trends, or change in payments
- Address denials and zero payments to identify and provide any requested documentation required to process the claim or refer to billing for claim corrections
Requirements
- High school diploma or GED equivalent
- Nice to have: Previous experience working with multi-state practices
- Nice to have: Out of network experience