Senior Medical Billing Aging Report Billing Specialist Must Know Hcfa

Job title:Aging Report Billing Specialist
Report to: Revenue Cycle Manager and/or CEO
Location: Broward/ Miami Dade Areas
Job Type: Full time
About Us:
Unified Medical Billing is a leading Medical Billing, Credentialing, and Practice Management Consulting Firm situated in the vibrant region of South Florida. Our dedicated team specializes in providing comprehensive Full Revenue Cycle services for our valued clients. With a commitment to excellence, we seamlessly navigate the intricacies of Medical Billing, ensuring accurate and timely reimbursement. Beyond billing, we offer expert credentialing and practice management consulting services, empowering healthcare practices to optimize their operations and focus on delivering exceptional patient care. At Unified Medical Billing, we take pride in our client-centric approach, fostering lasting partnerships built on trust, efficiency, and a shared commitment to success.
Position Summary:
This position is expected to manage all assigned client billing claim denials and process appeals
accordingly. This role is designed to be a remote position. Individuals are expected to be organized, and
proficient in their work, collaborate with team members, and from time to time be called upon to fill in
and take on other billing functions to assist the company when needed.
Responsibilities:

• Analyzing and reviewing denied or rejected claims from insurance companies.
• Identifying the reasons for denials, such as coding errors, incomplete documentation, or eligibility
  issues.
• Conducting thorough research to understand the specific reasons behind claim denials.
• Collaborating with other departments, such as coding or clinical staff, to gather additional information or clarification to resubmit the claim with the goal of achieving a better outcome than originally presented.
• Documenting all actions taken to resolve the denial, including any communication with payers or
  other relevant parties.
• Making necessary corrections to claims, including updating codes, adding missing information, or
  addressing any identified issues.
• Keep record on the correction process undertaken for every rejected claim in order to follow up with the insurance payer or to duplicate the process in the future.
• Drafting appeal letters to insurance companies to contest denied claims.
• Providing supporting documentation and evidence to strengthen the appeal.
• Follow-Up by Monitoring the progress of appealed claims and following up with insurance
  companies to ensure timely resolution.
• Keeping detailed records of all communication related to the appeal process.
• Communicate and collaborate with other departments, such as billing, coding, and clinical staff, to gather necessary information for the appeals process.
• Communicating with healthcare providers to obtain additional documentation or clarification if
  needed.
• Coding and Billing Knowledge by staying informed about current coding guidelines and billing
  regulations.
• Ensuring that claims are coded accurately and in compliance with industry standards to prevent future denials.
• Create an Appeals Strategy by Developing strategies to minimize claim denials and improve the overall reimbursement process.
• Analyzing denial trends to address systemic issues contributing to repeated denials.
• Providing training to billing and coding staff on common reasons for denials and how to prevent
  them.
• Keeping the team updated on changes in regulations or policies that may impact the appeals and
  denial management process.
• Generating reports on the status of denied claims, appeal outcomes, and trends.
• Presenting data and analysis to management to facilitate decision-making and process improvement.
• Ensuring that all appeals and denial management activities comply with relevant laws, regulations,
  and industry standards.

Qualifications:

• Minimum of 3 years of experience of hands-on Medical Billing specifically with denials and appeals.
• Be up-to-date and maintain current on industry changes and evolving billing practices.
• Proven track record of successfully appealing denied claims.
• Familiarity with working Aging Reports and managing accounts receivable.
• Strong understanding of medical coding and billing regulations.
• Excellent communication skills and ability to work independently in a remote setting.
• Proficiency in using electronic health record (EHR) systems and billing software.
• Proficient with Microsoft suite of products, Excel, Word, and Outlook

Education and Experience:

• High School Diploma, College degree preferred
• Minimum of 3 years of experience in Medical Billing with a focus on appeals and denials.
• Must have 3 years experience using an EMR/PM software, such as Eclinical or AdvancedMD.

Supervisory Responsibility:

• Monitor the days in A/R

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to
successfully perform the essential functions of this job.

• Combined sitting, standing, and walking throughout the day to accomplish tasks.
• Occasional reaching, stretching, pushing, pulling, stooping, or crouching.
• Manual dexterity used frequently with repetitive finger motion.
• Occasional lifting up to 25 pounds.
• Hearing and speaking required regularly.
• Specific vision abilities include close and distance vision, depth perception, peripheral vision, and ability to adjust focus.

This is a remote position.