AllHealth Network

Receive alerts when this company posts new jobs.

Similar Jobs

Job Details

Full Cycle Billing Specialist

at AllHealth Network

Posted: 8/27/2020
Job Status: Full Time
Job Reference #: 5706f649-fa95-4b63-91b1-a4986b6177df

Job Description

Job Purpose:
Responsible for ensuring all services provided receive maximum reimbursement through proper billing, eligibility, and authorizations, following the client from beginning to end.

Goals and Objectives:
• Process benefit eligibility, ensuring timely and accurate billing.
• Obtain authorization as needed to ensure service is payable.
• Monitor and follow-up of accounts receivable to ensure maximum reimbursement.
• Identify issues in a timely manner to reduce denials and write offs.

Duties and Responsibilities:

  • Follow-up on outstanding accounts receivable
  • Payment posting of payer and client payments
  • Follow-up on payer denials
  • Handle phone calls to and from insurance payers
  • Receive and respond to phone calls from clients regarding billing questions
  • Process client payments as needed.
  • Obtain client statements and perform audits if needed to verify balances.
  • Verify and maintain client authorizations
  • Verify client eligibility
  • Handle clearinghouse claim rejections.
  • Receive and process correspondence from client or payer
  • Special billing as assigned.
  • Follow all AllHealth Network policies and procedures
  • Complete all required trainings as listed in Relias Learning (both online training and face-to-face training) within required timelines

Perform other duties as required within the scope of the position, experience, education, and ability of the employee.

Education

  • Bachelor’s Degree or equivalent combination of education and experience

Experience

  • Full Cycle reimbursement experience. Minimum of one (1) year of related experience.
  • Minimum of three (3) years of related experience to include use of computers (i.e, Word, Excel, Outlook)
  • Minimum of one ( 1) years of experience with Electronic Health Record systems and claims clearinghouses

Skills/Knowledge

  • 10-key adding machine by touch
  • Posting and reconciling account ledgers
  • Ability to read and interpret explanation of benefits.
  • Interact with clinical staff and clients to ensure accuracy of client’s accounts.
  • Communicate effectively both verbally and in writing.
  • Maintain good working relationships with other employees, clients, other agencies and general public.

 

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!