Facility / Security / Support Services
Prepares and issues bills for reimbursement to individual and third party payers in an out-patient or medical office environment.
Responsibilities :
- Prepares insurance claims for submission to third party payers and / or responsible parties.
- Reviews claims for accuracy, including proper diagnosis and procedure codes.
- Reviews claim rejections and communicates with payers to resolve billing issues.
- Prepares and reviews routine billing reports. Recommends process improvements based on findings.
- Responds to complex telephone and written inquiries from patients and / or third party payers and physician practices.
Minimum Qualifications :
High School diploma equivalency - 1 year of applicable cumulative job specific experience required.Note : Required professional licensure / certification can be used in lieu of education or experience, if applicable.Preferred Experience :
Minimal of two years in a healthcare setting.Familiar with insurances / authorizations.Two years of experience in Oncology Billing preferred