Medical Billing and Insurance Specialist in Sharonville, Ohio at Vaco

Date Posted: 2/18/2021

Job Snapshot

Job Description

Position Summary:

In this position, you will perform the daily collections and management of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Provide effective customer service for all internal and external customers by using, excellent, in-depth knowledge as well as communicating effectively with team members and strong customer service.


Role Responsibilities:

  • Performs daily on collecting and managing of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments.
  • Collaborates with manager and director to report denial trends to ensure proper claim resolution.
  • Collaborates with patients, vendors, and internal departments to resolve conflicts on accounts and resolve any outstanding claims..
  • Ensures accuracy in claims escalation (denials management) while adhering to all regulations.
  • Participates with the team to implement and adhere to policies, procedures, and systems to ensure timely resolution of claims in current Practice Management system.
  • Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals.
  • Collaborates with manager to create new processes and procedures as needed to improve overall claims escalation process.
  • Performs a variety of administrative duties including, but not limited to: answering phones, faxing and filing
  • Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training.
  • The ability to maintain friendly, cordial relations with fellow coworkers.

Job Requirements

3+ Years of Medical Billing Experience Strong Background in Insurance Follow-Up NextGen Experience is preferred not required