Anchorage, Alaska
Premium Audit Reviewer Job Opening in Anchorage, Alaska - We are looking for a full-time, goal-oriented, revenue-driven, highly accurate and motivated Medical Biller. Duties may include, but are not limited to: data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits, consistently follow up on unpaid claims utilizing monthly aging reports, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with providers, clients, patients and fellow staff.
REQUIRED SKILLS
Computer experience is essential, including, but not limited to: practice management software, word processing and spreadsheet applications, with a minimum of 40 wpm typing speed and 10-key by touch.
Experience in CPT and ICD-9 & 10 coding; familiarity with medical terminology.
Excellent customer service skills.
Strong written and verbal communication skills.
Ability to manage relationships with various Insurance payers.
Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
Neat appearance; pleasant speaking voice and demeanor; positive attitude.
Responsible use of confidential information.
Perform to company standards of compliance with policies and procedures.
Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.
DETAILED WORK ACTIVITIES
Ensure all claims are submitted with a goal of zero errors.
Verifies completeness and accuracy of all claims prior to submission.
Accurately Post all insurance payments by line item.
Timely follow up on insurance claim denials, exceptions or exclusions.
Meet deadlines.
Reading and interpreting insurance explanation of benefits.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies
Respond to inquiries from insurance companies, patients and providers.
Regularly meet with Account Manager to discuss and resolve reimbursement issues or billing obstacles.
Regularly attend monthly staff meetings and continuing educational sessions as requested.
Perform additional duties as requested by Supervisory or Management team.
REQUIRED EDUCATION
High School diploma or equivalent. Prefer Associates degree in Medical Billing and Coding or Accounting; however, one year of experience in lieu of education may also be considered
JOB DETAILS & BENEFITS
Job Location: Anchorage, AK 99518 Hours/Week : Full-Time 40 Hrs per Week (*8:30 AM ? 5:00 PM) Monday-Friday *flexible start time Benefits Include: Medical, Dental & Vision Insurance, Holidays, Paid Time Off & Simple IRA and Flex pay (bonus plan).
Job Type: Full-time
Job Location:
Anchorage, AK 99518
Required education:
High school or equivalent
Required experience:
Professional work environment: 1 year
Phone etiquette: 1 year
Medical Billing: 1 year
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