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Accounts Receivable/ Follow-Up Associate - NY

Quick Facts
Company Name:Advanced Billing Services, Inc.
Location:NY
Employment Type:Full Time
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Description

General Purpose of Position:
To ensure accurate and timely follow-up of medical claims in order to maximum reimbursement

Duties and Responsibilities:
Follow-up on outstanding claims and patient balances in a thorough and professional manner
Contact the insurance carrier and/or member regarding medical claims and patient balances
Process and research medical claim denials
Identify and report claims denial trends
Review claim payments for accuracy and contractual compliance
Update member file in Medical Management System
Send appeal correspondence to insurance carriers for claims processed incorrectly or denied
Identify coding and bundling discrepancies
Maintain confidentiality in compliance with HIPAA regulations
Maintain and improve client relationships

Educational Requirements:

High school diploma or GED required
2 + years well rounded medical billing and claims experience, particularly in following up on outstanding claims and appealing       denied claims.
2 + years experience working with ICD-9 and CPT codes
2 + years experience with Medicare, Medicaid, Blue Shield and other Third Party Insurance
    carriers coding, claims and compliance guidelines