<p>Apply</p> <p>Job Type</p> <p>Full-time</p> <p>Description</p> <p>Essential Functions:</p> <p>Works to resolution disputes and appeals of third-party denials. Identifies, reviews, and contests denials for inappropriate payments. Documents actions taken within the system.</p> <p>Possesses a comprehensive understanding of Clinic contracts, carrier specific, State or Federal governmental, HCFA, or CPT billing and reimbursement guidelines. Reviews bulletins, updates, etc., maintains guidelines as reference/resource material to assist in follow-up.</p> <p>Accesses available third-party and governmental on-line services. Accesses appropriate web sites to obtain current carrier guidelines, verify eligibility and re-files claims.</p> <p>Possesses a comprehensive understanding of how to enter insurance information into the billing system. Reviews and edits registration information according to Clinic policy. Remain current on new FSC's that are created and understand how they are used.</p> <p>Requirements</p> <p>Required Education and Experience</p> <p>High School graduate or equivalent. 1 - 2 years in a medical business office or related field. Experience with the claims adjudication process for multiple governmental agencies and private insurance carriers. Basic medical terminology. Current CPT and ICD-10 coding experience.</p> <p>Additional Eligibility Qualifications</p> <p>An aptitude to retain detailed information. Ability to be multi-tasked oriented, to prioritize and to produce an acceptable volume of work. Excellent organizational and problem-solving skills. Excellent communication skills, oral and written. Basic knowledge of Windows-base computer applications. Accurate typing rate of 40 wpm. Ability to operate the following equipment: computer, copier, fax, and 10-key calculator.</p>