What are the responsibilities and job description for the Billing AR and Posting Specialist position at Valley Sleep Center?
Primary/Essential Job Duties:
- Initiate billing of claims and follow up with Supervisors and Providers to ensure all appropriate billing has been provided
- Identify billing and reimbursement problems trends and communicate discrepancies. Communicate to appropriate Management.Initiate claim follow up with insurance companies in regards to disputes to resolve denials and pending claims.
- Research and resubmit claims through paper and/or EDI transmission. Ensure timely resolution of claims payment.
- Investigate and resolve billing discrepancies resulting in overpaid/underpaid accounts.
- Ensure revenue is maximized based on submitting claims for coordination of benefits to appropriate secondary and tertiary payers.
- Provide quality control of insurance claims to ensure proper billing information is submitted including patient demographics, insurance, ICD, CPT and HCPCS codes. Monitor claims for missing information and authorizations.
- Utilize analytical skills to review outstanding billing and revenue in order to report irregularities to management and evaluate opportunities to maximize revenue.
- Submits medical documentation and records as needed and requested to comply with HIPPA and Practice requirements.
- Enter all calls and all notes for documentation. Includes all insurance company and patient and all internal and external correspondence.
- Identifies patterns of insurance and patient concern.
- Ensure appropriate credit adjustments, write off allowable amounts and review for write off amounts are compliant with write-off policy and reported to management.
- Responsible for posting of payments and denials received electronically and through the mail. Sorting and reviewing mail for executive use.
- Maintains current knowledge of and adhere to payer and regulatory guidelines for medical insurance claims processing and reimbursement.
- Performs other duties as required.
Job Type: Full-time
Ability to Relocate:
- Mesa, AZ: Relocate before starting work (Required)
Work Location: In person