<p>PURPOSE STATEMENT:</p> <p>Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.</p> <p>Essential Functions</p> <ul> <li>Position is eligible for Hybrid / Remote model after 90 days. 3 days remote / 2 days in office </li><li>Prepares and monitors monthly billing and collection processes utilizing established policies, procedures, and tracking systems </li><li>Verifies Medicare, Medicaid and Commercial benefits and prior authorizations </li><li>Identifies deductible, co-insurance and co-pay due per EOBs received </li><li>Compiles appropriate information for refunds, bad debt write-offs, and adjustments </li><li>Types, assembles, copies, files and processes data required in an accurate and timely manner. </li><li>Making telephone calls, writing letters, and/or sending faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved. </li><li>Handling and interpreting medical documentation such as UB04 claim form, 1500 claim forms and EOB's. </li><li>Analyzing and interpreting documents, contracts, notes, and other correspondence </li><li>Writing appeals to insurance carriers to overcome denials. </li><li>Manage an extensive portfolio of claims by prioritizing and organizing time effectively </li><li>Comply with privacy laws and patient's needs. </li><li>Overcome obstacles by using effective information gathering and problem solving methods. </li><li>Participates in monthly AR reviews with Management Team. </li></ul> <p>EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:</p> <ul> <li>High school diploma or equivalent required. </li><li>Three or more years' experience in related field required. </li><li>Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required. </li></ul> <p>BEL01</p>