Job Description
Job Description
Seeking a Physician Billing Credit Analyst to work onsite in Melville/Farmingdale. Qualified candidates will have three (3) years of experience in healthcare collections, billing or reimbursements.
Responsibilities:
- Physician Billing experience
- Knowledge of Medicare/Medicaid Governmental Benefits and Regulations
- Strong knowledge of Medical Insurance Coverages
- Process refunds for Third Party insurance, Medicaid or government assisted programs and commercial carriers
- Comply with all regulatory agencies
- Some of the duties expected, but not limited to, reviewing credit balances on accounts to resolve by correction, refund, over payment inquires and ensures compliance with internal and external agencies.
- Handles all telephone inquires related to overpayments
- Identifies Coordination of Benefits. Provides specific documentation for refunds.
- Performs other job related duties, as required.
Qualifications
- Knowledge of EPIC, preferred
- Full knowledge of ICD9/10 and CPT coding
- Knowledge of HIPPA
- Full knowledge of Third Party Billing (use of modifiers and COB rules)
- Proficient in MS Office (Word and Excel)
- Working knowledge of all insurance and/or government rules regarding payment, credit procedures, claims submittal and appeals process
- Knowledge and utilization of Third Party Websites
- Ability to read and correctly interpret Explanation of Benefits
- Ability to work efficiently both independently and in a team environment
- Participation in all educational activities, seminars, and webinars
Education and Work Experience:
- High School Diploma or GED, at minimum
- Some college preferred
- Three (3) years healthcare billing, reimbursement or collections