JOB SUMMARY: Responsible for timely identification and resolution of Commercial and Managed Care claims which include reviewing and/or processing vouchers, working aged trial balances, initiating secondary claims to be billed; working closely with Claim Processors to reconcile accounts; working with physician practices regarding authorization for services. Performs other related duties as required.
Education: High school diploma or equivalent is required. One to two years of college preferred
Experience: Prior experience working in a hospital, similar medical facility, or physician’s office for at least one year. Prior training in medical terminology and coding preferred
Other: Experience in Commercial and Managed Care billing and reimbursement necessary. Considerable interaction with patients and/or public which requires judgment, tact and patience. Extreme accuracy and attention to detail is required. Must meet deadlines for having claims resolved. Ability to use standard office equipment including computers. Knowledge of third party payers and knowledge of claim submission process for major carriers and intermediaries is necessary.
TYPICAL PHYSICAL DEMANDS: Requires full range of body motion with bending, reaching, standing, walking, with extended periods of sitting. Requires vision and hearing corrected to normal ranges; sensory skills, manual and finger dexterity and eye/hand coordination. Occasionally lifts and carries items weighing up to 25 pounds.