Medical Claims/Billing Specialist

Aston Carter San Antonio, TX
medical billing medical billing accounts accounts receivable pricing structures customer service medical billing insurance team accommodation
May 18, 2023
Aston Carter
San Antonio, TX
OTHER

Description:

1. Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to ensure accurate invoicing and prompt payment within business practice and time sensitive guidelines.

2. Performs extended resolution activities on more extensive exceptions and discrepancies including engaging parties such as Finance Department, National Contact Center, Contracts Area and field staff to collect necessary transaction details required to advance the resolution process. Utilizes higher-level knowledge of accounts receivable practices and information systems to identify and remove barriers to account collection.

3. Facilitates high volume, extensive professional level verbal and written communications to a broad spectrum of internal and external contacts during all resolution activities operating within strict federal credit guidelines and in full compliance with Sarbanes-Oxley regulatory requirements.

4. Researches and verifies all requisite specific transactional information such as contractual stipulations and service dates, initial order entry information, purchase order information, contract information such as price breaks, volume commitment levels, current and actual volume levels.

5. Practices continual autonomous decision-making based on knowledge and understanding of a variety of contractual pricing structures. Facilitates independent actions to assure purchasing and activities are within stated contractual guidelines including recognizing and complying with various dynamic and goodwill pricing structures.

Skills:

medical collections, communication and analytical skills, customer service skills, medical record, medical terminology, customer service, call center, health care, medical billing, benefit verification

Additional Skills & Qualifications:

• High School Diploma

• Ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment.

· Minimum 3years in medical billing office, processing/collecting authorizations to bill medical insurance companies

· Managed care insurance knowledge

· Familiar with billing codes

· Able to read clinical/chart notes to determine a dx code

· Must be familiar with medical records/medical documentation

· Familiar with benefits eligibility and explanation of benefits (EBO)

Experience Level:

Intermediate Level




About Aston Carter:


Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.


At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.


Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.


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.


If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email [email protected] for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.


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