Commercial Insurance Follow-up in Vinings, GA at Prestige Staffing

Date Posted: 7/30/2019

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Vinings, GA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    7/30/2019

Job Description

JobID: 23218

Commercial Hospital Biller/Collector Description:

Pay:  $17-20/hr

Location:  Vinings, GA

Working on the Transplant and Research Specialty Billing Team

Responsibilities:

  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Knowledge of insurance guidelines, including HMO/PPO and commercial payors
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up
  • Research and appeal denied claims

Qualifications and Skills:

  • Knowledge of HMO/PPO, and other payer requirements and systems
  • Minimum of 4 years of experience in medical billing/collections
  • Effective communication with insurance payers to resolve issues
  • Experience with UB04 hospital claims
  • Able to work in a team environment
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • Knowledge of medical terminology likely to be encountered in medical claims

This is a Monday through Friday position.

Only candidates with at least four years of Commercial Insurance Follow-up, Denials and Appeals experience will be considered for this position.