Aerotek Medical Biller in Phoenix, Arizona
Responsible for accurate and timely billing of electronic and hardcopy Behavioral Health claims. Creates and submits a large volume of electronic HCFA claims via the 5010 837p formats. Creates and submits electronic copy UB04 claims for Resilient Health Level I services. Responsible for creating reports from Resilient Health systems to identify billed/denied/paid services and work to completion.
Ensures 95% of claims are billed within 2 months. Resolves issues with unpaid claims to ensure 90% of claims are in a paid status within 5 months. Excellent customer service skills required.
Duties & Responsibilities:
Submits timely and accurate electronic and/or hardcopy behavioral health claims. (New, Resubmit, and Adjustments)
Identifies, researches, and resolves unbilled encounters and escalates issues to Manager as needed to ensure 95% of claims are billed within 2 months.
Identifies, researches, and resolves denied encounters within 6 months of service date.
Identifies, researches, and resolves unbilled FFS claims and escalates issues to Manager as needed to ensure 95% of claims are billed within 2 months.
Identifies, researches, and resolves denied FFS claims within 6 months of service date.
Creates reports of billed/paid/not-billed etc. for bi-weekly review with Billing Manager.
Keeps Manager informed of bi-weekly production of claims and problems interfering with successful claims submission.
Responsible for thorough understanding of Resilient Health and other payer billing requirements and procedures.
Responsible for accurate record keeping of claims billing.
Assists in maintaining claim billing process and procedure manuals.
Verify client insurance eligibility.
Scrub claims data for accuracy.
Responsible for researching, reconciling and resubmitting denied claims and posting payments for client services to client accounts in the organizations EHR/EMR.
Correspond regularly with all payers regarding claims.
Assist in the daily operations of the claims department.
Additional Skills & Qualifications:
Knowledge of business equipment, computers, computer software and office procedures.
Knowledge of database systems and word processing.
Knowledge of general accounting practices.
Knowledge of computerized billing procedures, insurance payor reimbursement, collection practices, and accounts receivable follow-up.
Intermediate skills in Microsoft Excel.
Ability to perform effectively in an environment where attention to details and tasks is important.
Ability to organize projects, prioritize workflow and complete multiple tasks simultaneously and accurately.
Skilled in the preparation of accurate reports from file records and source material and ability to conduct special research as required.
Ability to achieve a high degree of accuracy in data entry.
Above average written and verbal communication skills, with emphasis on correct English grammar.
Ability to exercise independent judgment, initiative and tact in dealing with management, supervisors, and staff.
Ability to maintain confidentiality.
We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.