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Anesthesia-Medical Claims Specialist

Expired Job

Acquisition Billing Services, LLC San Antonio , TX 78201

Posted 2 months ago

WORK SKILLS/KNOWLEDGE & ABILITIES:

  • Ability to appeal denied and deficient claims.
  • Experience with billing and collections with Anesthesia.
  • Ability to spell, have good grammar, and can write an appeal letter.
  • Ability to read & understand an EOB
  • Participates in educational activities and reports needed information to Collections Manager.
  • Contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations
  • Ability to organize and manage multiple priorities commitment to company values

Skills and Abilities:

Able to perform all essential duties with or without accommodations, including but not limited to:

  • Aggressive follow up in collecting from insurance companies
  • Skill in fast data entry and accuracy.
  • High level of discretional, interpersonal skills.
  • Tactfulness in dealing with patients, co-workers and other professional offices.
  • Knowledge of medical terminology
  • Interact with external/internal customers as necessary to resolve problems and expedite payments
  • Obtain status of outstanding claims
  • Problem Solving/Troubleshooting
  • Follow-up on outstanding AR balances assigned by supervisor or manager
  • Ensure timely and accurate processing of re-bills to the appropriate insurance companies
  • Provide detailed information regarding problem payors to management
  • Submit appeals based on denials from payor
  • Provide suggestions for solutions to management

Experience and Training:

  • Minimum of 2 year Medical Collections Experience
  • Knowledge of CPT, and/or ICD-10
  • Knowledge of legal and regulatory government provisions
  • Knowledge of laws that regulates communication and privacy act. HIPAA laws and understanding of the application of all above

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Anesthesia-Medical Claims Specialist

Expired Job

Acquisition Billing Services, LLC