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We are looking for experienced professionals to assist with medical billing, claims, and collections in a high-volume environment. This contract position involves working on various aspects of accounts receivable and claims management, including patient collections, invoicing, and reviewing aged accounts. Based in Austin, Texas, this role offers an opportunity to contribute to an ongoing project while leveraging your expertise in claims adjudication and insurance follow-up.
Job Responsibility:
Conduct follow-ups on aged accounts receivable to ensure timely resolution and recovery
Review and analyze claims to determine appropriate actions, including resubmissions, appeals, write-offs, or patient collections
Manage patient collections by initiating contact, negotiating payment plans, and addressing financial concerns with sensitivity
Handle invoicing tasks, ensuring accuracy and compliance with organizational protocols
Evaluate insurance denials and claims statuses to identify resubmission opportunities and payer-specific requirements
Process appeals and resubmissions, adhering to industry standards and documentation guidelines
Interpret explanation of benefits (EOBs) and electronic remittance advices (ERAs) to determine financial responsibility between payers and patients
Collaborate with team members to ensure efficient handling of accounts and claims
Maintain detailed records of all actions taken for claims and collections
Utilize knowledge of commercial and government insurance processes, including Medicare and Medicaid, to guide decision-making
Requirements:
Proven experience in medical billing, claims processing, and collections
Strong knowledge of accounts receivable management, particularly aged accounts
Familiarity with insurance follow-up processes, including handling denials and claim status evaluations
Understanding of appeals and resubmission procedures for various insurance types
Ability to interpret EOBs and ERAs to accurately assign financial responsibilities
Excellent communication skills for patient collections and negotiations
Proficiency in handling sensitive financial conversations with empathy and professionalism
Knowledge of Medicare, Medicaid, and commercial insurance regulations and processes
What we offer:
medical, vision, dental, and life and disability insurance