Billing/Follow-up Specialist

General Summary

• Prepare and submit clean claims to various insurance companies either electronically or by paper. Answer questions from patients, clerical staff and insurance companies regarding claims. Diligently follow up on claims to ensure proper processing. Knowledge of medical billing/collection practices required. Knowledge of computer programs required. Ability to multitask, be well organized and detail oriented.

Minimum Qualifications

Required Licensure or Certification

• None required.

Required Length and Type of Experience

• Minimum 1 year of billing experience, preferably in a pharmacy retail setting.

Education, Knowledge, Skills and Abilities

• High school graduate or equivalent.
• Poses computer system knowledge.
• Knowledge of healthcare patient accounting and healthcare insurance coverage.
• Confidential and good communication skills, both verbal and written.
• Proper use of standard office equipment.

Required Physical and Environmental Demands

• Ability to sit for extended periods of time. Manual dexterity to use a PC for extended periods of time.

Responsibilities

• Timely and accurately submit clean claims to insurance companies.
• Maintain an understanding of third-party billing regulations and contract filing demands.
• Identifies problem accounts with third party payors; investigates, corrects errors and submit claims.
• Responsible for resolving outstanding and unpaid and/or unprocessed claims.
• Review accounts on a regular basis to insure timely filing and payment timeframes are not missed.
• Responsible for resolving outstanding claims by multiple avenues. (ie. phone calls, reviewing third party websites, or sending and receiving correspondence.)
• Utilize A/R reports and EOBs to identify and resolve outstanding third-party claims.
• Carry out job duties in full compliance with ACMC’s Corporate Compliance Program and Code of Conduct.
• Perform other duties as assigned by management.

Benefits

• Competitive salary package
• Extensive benefit package including medical, dental, vision, and life insurance (Benefits on Day 1!)
• Accident & critical illness insurance
• Tuition Reimbursement
• Short-Term & Long-Term Disability Insurance
• Paid Maternity Leave
• Employee Assistance Program
• Paid Time Off
• Employee Wellness Plan that pays you for being healthy
• 403(b) and Roth Retirement Plan with company matching
• We are a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program which allows you to receive forgiveness of the remaining balance of your Direct Loans after you have made 120 qualifying monthly payments while working full-time for a qualifying employer