Crawford Thomas Recruiting
Dental and Medical Billing Revenue Cycle Personnel
Crawford Thomas Recruiting, Minneapolis, Minnesota, United States, 55400
Salary:
$40,000-60,000/yr based on experience
Medical, Dental, and Vision Insurance
Discounted Transportation
Job Summary: The Dental Billing Specialist/Insurance Follow Up Representative is a member of the Patient Accounting team. We rely on each other to make the strongest team possible! As the Insurance Follow Up Representative your main focus will be to acquire maximum reimbursement for all insurance claims from third party payers.
Job Responsibilities: Account Management and Problem Solving:
Submission of timely and accurate dental claims to primary, secondary, and tertiary insurances for both electronic and paper submissions. Ensures that claims have the appropriate information on them for submission to insurance carriers, by reviewing errors or other prebilling insurance reports/work-lists. Contacts patients for additional information in order to have claims processed and paid in a timely manner as needed. Analyzes and reviews claims to ensure that payer regulation and requirements are met. Generates telephone calls to insurance carriers or accesses insurance carrier's website to follow up on claims using work-lists and reports generated for this purpose. Evaluates and investigates action to be taken in order to reconcile patient accounts receivable. Follows up on all unpaid claims through telephone contact or written correspondence to ensure that no account reaches no more than 180 days old from the date of service and is still unpaid by insurance. Advises Supervisor of any billing errors, third party payer trends, denials or payment fluctuations to ensure accurate handling and escalation of issue(s) when needed. Auditing:
Performs regular and consistent follow up, denial management, correction and/or reprocessing of claims as necessary to ensure timely resolution. Uses all resources, including electronic inquiries, to verify eligibility and claim status. Audits accounts by verifying that reimbursement amounts are appropriate. Coordinates refunds, when needed. Coordinates adjustments on patient accounts when necessary. Submits claims appeals or resubmissions. Completes accurate payment posting of third-party payments on patient accounts. Moves balances from insurance responsibility to patient responsibility when appropriate. Reviews and resolves credit balances. Completes work on projects assigned such as claims that have been touched, but not resolved, new and untouched claims, high dollar claims, claim edits and clearinghouse issues, secondary payers, and specific denial types. Reviews and completes work on spreadsheets such as refunds, unclaimed property, aging reports such as 60+ and 120+ days.
Qualifications: High School Diploma or GED Knowledge of Microsoft Products Knowledge of PM System and HER Strong Communication Skills
About the Company: Our client has built a stronghold in the healthcare industry by offering full-service billing and collections and revenue management. They have established a close partnership with its clients from all sectors of healthcare billing including private practitioners, surgical centers, doctors, hospitals, treatment facilities, clinics, and physician and doctor groups.
Job Summary: The Dental Billing Specialist/Insurance Follow Up Representative is a member of the Patient Accounting team. We rely on each other to make the strongest team possible! As the Insurance Follow Up Representative your main focus will be to acquire maximum reimbursement for all insurance claims from third party payers.
Job Responsibilities: Account Management and Problem Solving:
Submission of timely and accurate dental claims to primary, secondary, and tertiary insurances for both electronic and paper submissions. Ensures that claims have the appropriate information on them for submission to insurance carriers, by reviewing errors or other prebilling insurance reports/work-lists. Contacts patients for additional information in order to have claims processed and paid in a timely manner as needed. Analyzes and reviews claims to ensure that payer regulation and requirements are met. Generates telephone calls to insurance carriers or accesses insurance carrier's website to follow up on claims using work-lists and reports generated for this purpose. Evaluates and investigates action to be taken in order to reconcile patient accounts receivable. Follows up on all unpaid claims through telephone contact or written correspondence to ensure that no account reaches no more than 180 days old from the date of service and is still unpaid by insurance. Advises Supervisor of any billing errors, third party payer trends, denials or payment fluctuations to ensure accurate handling and escalation of issue(s) when needed. Auditing:
Performs regular and consistent follow up, denial management, correction and/or reprocessing of claims as necessary to ensure timely resolution. Uses all resources, including electronic inquiries, to verify eligibility and claim status. Audits accounts by verifying that reimbursement amounts are appropriate. Coordinates refunds, when needed. Coordinates adjustments on patient accounts when necessary. Submits claims appeals or resubmissions. Completes accurate payment posting of third-party payments on patient accounts. Moves balances from insurance responsibility to patient responsibility when appropriate. Reviews and resolves credit balances. Completes work on projects assigned such as claims that have been touched, but not resolved, new and untouched claims, high dollar claims, claim edits and clearinghouse issues, secondary payers, and specific denial types. Reviews and completes work on spreadsheets such as refunds, unclaimed property, aging reports such as 60+ and 120+ days.
Qualifications: High School Diploma or GED Knowledge of Microsoft Products Knowledge of PM System and HER Strong Communication Skills
About the Company: Our client has built a stronghold in the healthcare industry by offering full-service billing and collections and revenue management. They have established a close partnership with its clients from all sectors of healthcare billing including private practitioners, surgical centers, doctors, hospitals, treatment facilities, clinics, and physician and doctor groups.