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Medical Biller, Denial Management Expert

$28/hr Starting at $25

Analyzes and performs follow up activities in a timely manner on all accounts to ensure prompt payment. Identifies billing or coding problems from EOBs and works to correct the errors in a timely manner. Monitors insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner. Prepares accounts for re-billing and for filing secondary insurance; sends to carrier with necessary documents, as needed. Completes filing and follow-up on insurance denials with coding department to obtain reimbursement. Handles patient and insurance inquiries. Negotiates payment on out of network accounts, utilizing established policies regarding Settlement Discounts. Completes weekly reporting involving collections, for 14 provider accounts. Follows best practices regarding initial follow-up/first contact at 21- 28 days for insurance claims and subsequent follow-up every 10-14 days. Attends required meetings and participates in committees, as requested. Audit payer contracts to make sure they are paying according to agreements.

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$28/hr Ongoing

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Analyzes and performs follow up activities in a timely manner on all accounts to ensure prompt payment. Identifies billing or coding problems from EOBs and works to correct the errors in a timely manner. Monitors insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner. Prepares accounts for re-billing and for filing secondary insurance; sends to carrier with necessary documents, as needed. Completes filing and follow-up on insurance denials with coding department to obtain reimbursement. Handles patient and insurance inquiries. Negotiates payment on out of network accounts, utilizing established policies regarding Settlement Discounts. Completes weekly reporting involving collections, for 14 provider accounts. Follows best practices regarding initial follow-up/first contact at 21- 28 days for insurance claims and subsequent follow-up every 10-14 days. Attends required meetings and participates in committees, as requested. Audit payer contracts to make sure they are paying according to agreements.

Skills & Expertise

AccountingBillingCodingContractsInsurance ConsultingManagementMedicalNetworkingPatient EducationPayment Gateway IntegrationReport WritingReportsTax Filing

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