Medical Billing/AR Specialist

Responsibilities

• Perform complex billing tasks involving account research and analysis, contract billing, refunds, adjustments, and transfers
• Identify and analyze reasons for outstanding accounts, review payment and rejections and initiate appropriate action and follow-up
• Contact insurance carriers regarding non-payment and/or improper payment of claims
• Reviewing and appeal unpaid and denied claims
• Identify patient accounts for collection action when accounts become delinquent or when unable to contact the patient or responsible party
• Track and resolve discrepancies, based on partial payment and contracts
• Preparing and submitting insurance claims through electronic or non-electronic means to ensure processing and payment.
• Retrieves status information from payer websites.
• Resolving issues related to payments from insurance companies such as rejection or deduction analysis.
• Communicating with insurance carriers or others to coordinate revisions or adjustments for resubmission.
• Contact patients in order to obtain or relay billing account information.
• Field questions from patients, clerical staff, and others.
• Cooperating with the billing manager to ensure that their work adheres to the standards, guidelines, procedures, and deadlines set by the company.
• Preparing special documents as required by managers or physicians.
• Maintain and respect the confidentiality of patient information in accordance with posting guidelines and corporate policy and procedure.
• Participate in proactive team efforts to achieve departmental and company goals.

Qualifications

• High School Diploma/GED.
• Graduate of a Medical Billing training program.
• 2+ years or recent experience in high volume medical billing with relevant experience in AR-follow-up.
• Knowledge of ICD-10 and CPT coding.
• Demonstrate computer skills as evidenced by proficiency and/or training with applicable software.
• Problem solving, time management and exceptional interpersonal skills.
• Good written and verbal communication skills.
• Must successfully pass a background check and drug screen.

What we can offer you:

• A professional learning experience that offers meaningful, practical work related to your field of study or career interest.
• We are a proud Equal Employment Opportunity Employer.

Pinnacle GI Partners participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Apply today to learn more about Pinnacle GI! Let's be partners in success