New York, New york
Medical Billing Specialist Job Opening in New York, New york - DUTIES MAY INCLUDE, BUT ARE NOT LIMITED TO:
Monitor and execute work against the assigned Tier(s) and team associated Custom Claim Worklist(s), relational AR Worklist(s), reporting, projects, or team / department goals
Oversight of HOLD/Tier 1 Worklists and monitoring of Missing Slips to ensure timely charge capture
Research and resolution of claims based on assignment, the process of which could include:
Contacting payers via phone or website, contacting practices, navigating , writing appeals and facilitating their direction to athena CBO for submission, and all other activities that lead to the successful adjudication of eligible claims * Possible coding and charge entry based assigned Tier(s) and associated responsibilities (Specialty Tier(s), CPC)
Ability to run reports for analysis, trending, subdivision of work, or distribution based on direction (both self and managerial) as needed to communicate data of interest, trends of concern or a need
Complete system knowledge relative to worklists, research and resolution of assigned Unpostables, payment batches
Associated system knowledge of upstream and downstream impact of work, and ability to research and resolve in athenaNet
Ability to run Zero-Pay Worklist, Fully Worked Receivables, complete special project work, review and respond to adjustments / payment data with approval (or initiate appeal) communicating trends and root issues through proper lines of reporting
Receive transferred calls or emails from Patient Financial Specialists with patient?s requesting advanced assistance with their account
Illustrate excellent knowledge of healthcare industry in regard to the revenue cycle, coding, claims, and state insurance laws
*AthenaHealth experience a must.*
Job Type: Full-time
Required education:
Bachelor's
Required experience:
athenaHealth EMR System: 1 year
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