12/11/2018

Looking for an experienced medical biller in laboratory services, specifically urine drug monitoring (Urine Toxicology) and Molecular Testing for womens health, upper respiratory and pharmacogenomics.

Build an in house billing team to maximize our revenues. Immediate opening. Past experience required.

Email resume to btierney@helixmdx.com

12/07/2018

Peak Performance Physical Therapy is a leading physical therapy organization located in the Lansing area. We are seeking billing specialists who are servant focused, collaborative, possess an attitude of gratitude, positive energy and strive for business excellence.

Responsibilities:

• Facilitating timely reimbursement by obtaining complete and accurate information needed for claims submission; determining primary and secondary carriers when necessary; reviewing EOBs and matching them to the appropriate claims; completing and filing paper and electronic claims on a daily basis; sending regular statements to patients with outstanding balances, etc.
• Supports patient satisfaction goals by responding to patients' billing questions in a prompt and courteous manner; researching disputed account balances, correcting any errors (including misapplied payments and overpayments), reversing past due fees
• Supports sound practice decision making by regularly monitoring payments received, preparing patient accounts reports by payor type and status of patient accounts (number of days past due, etc.); following practice guidelines to obtain additional information from patients/payors with past due accounts, etc.
• Reduces claims rejection rate by researching rejected claims, gathering additional documentation required, correcting any errors, verifying accuracy of corrected claim, and re-filing in a timely manner; suggesting improvements in practice procedures and/or forms that would result in fewer rejected claims.
• Secures outstanding patient balances by reviewing status of delinquent accounts, establishing payment arrangements with patients, notifying patients when decision has been made to turn their account over to a collection agency, an attorney, or to small claims court; preparing paperwork for claims against past due accounts; testifying for the practice in court cases; recording any judgments with the appropriate officer(s) of the court; reporting patients to the credit bureau(s).
• Ensures compliance with all Insurances carries (Medicare) requirements by staying up-to-date on billing requirements.
• Protects the reputation of the practice by adhering to professional standards for collections and accounting, practice patient confidentiality policies and collections procedures, and federal (FCRA, HIPAA, etc.), state, and local statutes.
• Supports the maintenance of complete and accurate practice records by taking appropriate follow-up action on patient statements, etc. returned as undeliverable.
• Contributes to team efforts by assisting other departments at the direction of her/his manager or team lead.
• Participate in educational and professional development activities consistent with business needs.
• Maintain strictest confidentiality of medical/company information, being knowledgeable and following all HIPAA Regulations -Perform related work as required.

Knowledge:

• HIPAA and other regulatory policies
• Understanding of ICD-10 and procedure codes -Insurance regulations, policies and procedures
• Medical office procedures, policies, practices and medical terminology, telephone protocol and professional etiquette

Preferred Qualifications:

• 2-5 years physical therapy billing experience
• Experience in TheraOffice EHR System

Please send cover letter and resume to amy@peakperformanceompt.com with the subject line billing position application.

11/30/2018

We are seeking a full-time medical billing professional available immediately.

The ideal candidate would be certified, and have extensive experience working with auto and worker's comp carriers in claims management. Experience in working with Medicaid and working claim denials is required.

This position is located in our Traverse City office and hours are 8 - 4:30 pm M-F and is available immediately.

Please send resume and salary requirements to Paula VanAmberg via email at pvanamberg@lbbrehab.com.

In general, medical billing specialists perform these job duties:

• Verify insurance benefits on existing patients
• Reviewing therapeutic procedures as documented by therapists
• Transmitting coded patient treatment information to payers and other recipients
• Coordinating insurance reimbursement of care providers
• Handling patient billing (including producing statements and reports regularly)
• Reviewing patient medical records
• Coding treatment information using Common Procedure Terminology (CPT) codes
• Communicating with medical billing specialists to ensure treatment codes are accurately received
• Receiving patient treatment codes to use in assembling reimbursement claims
• Creating reimbursement claims and transfer to third-party payers
• Coordinating reimbursement activities with payers
• Billing patients for medical services
• Contact clients regarding past due balances
• Ensure that deposits are posted properly

10/30/2018

We are growing and currently have 2 full time (M-F 8:30-5) openings. Interested applicants can apply on Indeed.com or send their resume and cover letter to: ahoward@procarepain.com and/or dkaverman@procarepain.com 

Accounts Receivable and Denials Management Specialist ProCare Pain Solutions is hiring full-time Accounts Receivable and Denials Management Specialists for our growing downtown Grand Rapids location. We offer employees competitive wages, paid holidays, and paid time off. Employees can expect no night, weekend, or holiday shifts. In addition, full-time employees are also eligible for a free high deductible health plan after 90 days and a generous 401k profit sharing plan after one year of service.

GENERAL SUMMARY: The Accounts Receivable and Denials Management Specialist functions in an administrative role to ensure timely and accurate follow-up on unpaid claims and denials. This position is responsible for following up on all outstanding accounts which includes reviewing outstanding A/R reports, outstanding accounts in follow-up queues and identifying and reporting trends and changes in payments and denials. The account receivable specialist works under the direction of and reports to the billing team leader. Education: Minimum: High School graduate. Working knowledge of medical terminology as well as procedural and diagnosis coding is required Preferred: Higher education with a medical office or account focus. Certified Professional Coder (CPC), Certified Professional Biller (CPB) or Certified Revenue Cycle Specialist-Professional (CRCS-P) preferred Work Experience: Minimum: One year of recent, relevant experience with accounts receivable follow-up and/or denials management experience. Preferred: Two or more years of recent, relevant experience with accounts receivable follow-up and/or denials management experience; experience with working in eClinical Works or Centricity preferred Professional Skills: Communication: Effective verbal and written skills, computer literate Customer Service: Patient confidentiality, helpful, patience Organizational: Detail oriented, problem solving abilities, efficient Team Skills: Demonstrate ability and willingness to work as an effective part of a team

CHARACTERISTIC DUTIES AND RESPONSIBILITIES: 1. Account Follow-Up and Denials Management Skills oDemonstrate ability to follow internal policies and procedures regarding follow-up timelines and methods, documentation standards and spreadsheet creation and maintenance as assigned oMaintain a working knowledge of 835 and 277 rejection and denials reason codes (Remittance Advice Remark Codes (RARC) and Claim Adjustment Reason Codes (CARC)) along with payer specific adjustment and denial codes. oWrite and follow-up on appeal letters for denied claims referencing any applicable research, medical record documentation, medical policy and/or coding and billing rules oUse payer websites, payer inquiry methods, payer representatives and other applicable payer specific methods to obtain prompt payment of claims and identification and resolution of any issues affecting prompt payment oUse aging reports, work queues, tasks, ticklers and other follow-up techniques to ensure timely follow-up of unpaid claims and timely follow-up on claims that have been underpaid or denied oEffectively manage accounts receivable within area of assignment 2. Administrative Skills •Handle incoming and outgoing correspondence •Provide telephone support for patients and insurance carriers •Communicate with others on team including cash posters and leadership regarding payers not meeting contractual obligations pertaining to timely payment, denials and any trends or outliers noted •Communicate with on-site clinic staff regarding medical documentation needs 3. Quality Management •Adhere to corporate compliance and HIPAA standards and policies •Use relevant knowledge of carrier issues, medical policies and billing standards to ensure accurate and timely payments (know when to question) •Participate in peer review, quality management and outcome studies as assigned •Follow standards, policies and procedures to make appropriate adjustments 4. Facilities/Equipment •Demonstrate working knowledge of equipment •Coordinate with appropriate person for repairs or maintenance •Follow established appropriate use standards 5. Self-improvement/Professional Activities •Keep current on issues, practice patterns and trends in medical billing and those specific to pain management •Attend continuing education specific to job duties •Promote staff development activities and program goals and objectives

PHYSICAL DEMANDS: •Independently mobile to perform job tasks •Approximately 99% of time sent sitting •Moderate to heavy computer use •Able to lift up to 30 pounds

WORKING CONDITIONS: •Fast paced, demanding office environment •Exposure to a variety of attitudes and personalities from patients and visitors •Multiple interruptions

10/30/2018

Troy Ophthalmology solo practice seeking an experienced full-time biller.

Competitive salary and benefits in a very pleasant working environment! Hours of employment are Monday-Friday 8:30 a.m. to 5:00 p.m.

The applicant must have at least 3 years of experience with processing claims and correcting rejections.

Our present biller has been with our practice for over 20 years and has decided to retire. There will be an overlap in employment for quality training time. We look forward to hearing from you.

Please email your resume to vision@greenbergeye.com.

10/30/2018

Full time Medical Billing Specialist needed for fast paced Cardiology billing dept.

A dependable individual who has the knowledge and the ability to work with a dedicated team in the daily processing of Office and Hospital billing, Insurance denials, Appeals, follow up, payment posting and ICD10.

• Minimum 3 years experience.
• Genius E-Thomas experience preferred.

Send resume to acabilling@gmail.com