AR Follow-Up / Medical Billing Specialist

Bedford, MA
Full Time
ED Billing
Mid Level

$5,000 SIGNING BONUS

Are you interested in joining a team that strives to positively impact the healthcare system?

LogixHealth provides services and technology that result in smarter healthcare. We need the best and most inspired team members and are looking for people with a high level of intellectual curiosity and drive who always ask "why" and "how can we do it smarter."

If we have piqued your interest and you also possess:

  • A strong attention to detail and active listening skills
  • Proficient computer and Microsoft Excel skills
  • The ability to multitask

We want to meet YOU!

Purpose

Process all denied and unpaid claims submitted to insurance carriers to ensure payment is received.

Duties and Responsibilities

  • Review denials on an explanation of benefits (EOB) statement and work on issues until resolved
  • Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims
  • Send out appeals on claims that require an appeal
  • Submit any required documentation to insurance companies as requested
  • Research the claims for information in order to process bills in a timely manner
  • Communicate with insurance companies, adjustors and patients on a regular basis
  • Correct any errors and resubmit all unprocessed or returned claims to insurance companies
  • Create UB92 and HCFA bills  by performing data entry  into the billing software

Qualifications

To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

Education (Degrees, Certificates, Licenses, Etc.)

High School Diploma or equivalent combination of education and experience required.

Computer Skills

Prior MS Office experience, including proficiency with Excel and Word, and internet software experience required.

Experience

  • EPIC experience strongly desired
  • One to two years related billing experience preferred.

Specific Job Knowledge, Skill and Ability

  • Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals
  • Ability to compute rates, ratios and percentages
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
  • Ability to write routine reports and correspondence
  • Ability to communicate effectively verbally and in writing
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
  • Ability to deal with problems involving several concrete variables in standardized situations
  • Specific vision abilities required by this job include close vision
  • Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

 

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