General Summary Position is responsible for preparing services

rendered by medical, dental, and mobile clinics for billing multiple entities via electronic

or paper claims. Reviews and resolves current electronic rejected/invalid submissions

for correction. Post adjustment timely and accurately from insurance and

self-pay. Submit all claims to appropriate secondary carrier.

Essential Job Responsibilities:

Prepares and submits clean claims to various insurance companies (both medical and dental) either electronically or by paper;

Answers questions from patients and insurance companies;

Helps prepare, review and send patient statements;

Follows and reports status of delinquent accounts;

Makes recommendations to A/R Specialist for delinquent accounts for write offs;

Performs various collection actions correcting and resubmitting claims to third party payers;

Investigates and corrects rejected claims as requested by A/R Specialist;

Helps with billing for Show Me Healthy Women/WISE programs;

Refer patients to A/R Specialist for payment plans;

Helps with Monthly reports;

Helps with training of front desk staff to reduce errors/denials;

Helps with Financial audit;

Helps with credentialing of providers;

Other duties as assigned;

Skills

Excellent knowledge of medical/dental billing practices

Highly Organized

Responsible

Responds to customer service calls in a professional manner

Attention to detail

Ability to maintain strict confidentiality and adhere to all HIPAA guidelines

Knowledge of Microsoft Office Products