Anesthesia Biller Collector

-Be able to process multiple specialty types of HCFA 1500 claim types but primarily out of network internal medicine claims
-Be able to process multiple specialty types of HCFA 1500 claim types but primarily out of network internal medicine
claims.
-Ability to work well independently and communicate efficiently and respectfully with patients and insurance representatives.
- Process in and out of network claim types.
- Work well with collection team.
-Code and Follow up on all claims from charge entry through resolution
-Identify billing errors and denials, by understanding the problem and resubmit corrected claims or take other appropriate action to resolution.
-Negotiate out of network reimbursement, based on determined criteria for max reimbursement.
-Send appeals for: low reimbursement, no authorizations, timely filing, medical necessity etc. with correct documentation.
-Submit paper claims to primary and secondary insurance with correct documentation, ie: operative reports, implant invoices, primary eob’s.
-Adjust claims for correct fee schedule, incorrect payments and patient responsibility.
EDUCATION/EXPERIENCE
Coding or Billing Certification preferred but not required
Minimum 5 years Billing/Collections experience Minimum High School Graduate