Prepare claims for Secondary/Tertiary billing. Applicants time will be split following up on submitted claims and preparing claims for submission.
Submit Secondary /Tertiary claims using My Ability, Claim MD, Email, Fax, and USPS mail.
Determine claim status
Effectively and efficiently resolve claims that are not paid in a timely manner & those that are short paid
Effectively submit appeals
Review EOBs and correspondence from payers in the course of performing account follow-up and escalate any identified issues to the appropriate area for review and response to expedite claim resolution
Identify problem accounts, provide possible solutions, escalate as appropriate while identifying trends
Minimum Requirements
HS Diploma or equivalent
Minimum of 3+ years ofΒ hospitalΒ insurance collections (required)
2+ years of denial management experience (required)
2+ years of billing experience (preferred)
Expert ability to read and interpret EOBs (Explanations of Benefits)