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Medical Billing Specialist (Athena - US Based Client)

intelassist · 10 days ago
Eastwood, Quezon City, PH
Negotiable
Full-time
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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.

Last updated on Sep 27, 2024

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