Company: Articularis Healthcare
Posted on: June 15, 2022
Articularis Healthcare Group, Inc (AHG) is a physician led and
owned organization dedicated to improving the healthcare by
supporting independent rheumatology practices across the country.
As the nation's largest rheumatology specialty group with 20+
practices across 7 states, AHG provides access to best business
practices, advisory and management services, and value-based
AHG currently has an opening for a Billing Specialist at our
Summerville-Administrative location. Our office hours are Monday
through Thursday with a 3-day weekend! Enjoy a positive team
environment and great work/life balance. Please visit our website
at www.articularishealthcare.com for more information.
The Billing Specialist manages the revenue cycle process, including
accurate and timely charge entry, claim creation payment entry and
A/R follow-up with patients and third party payers. This position
works on a team of other Billing Specialists in a central business
office representing multiple medical practices.
Essential Duties and Responsibilities:
--- Responsible for preparing and submitting clean claims to third
party payers either electronically or by paper.
--- Coordinates collection process and tracking current collections
--- Manages weekly statement process, to include reviewing
statements before processing.
--- Identifies and resolves patient billing problems
--- Responsible for denial and insurance follow-up management.
--- Responsible for submitting adjusted, corrected, and/or rebilled
claims to third party payers in a timely manner.
--- Responsible for posting electronic remits (ERA), manual
payments and adjustments, transfer of responsibility and refunds,
as necessary and in a timely
--- Assure coding is compliant, accurate and up to date.
--- Reviews accounts and makes recommendations to Supervisor
regarding non collectible accounts.
--- Maintains strictest confidentiality; adheres to all HIPAA
--- Other duties as assigned by supervisor.
--- Associates degree with 2 years or any combination of education
work experience in a customer service-related role.
--- Experience working with medical payers including Medicare,
and commercial insurance,
--- Previous experience working in a medical/clinical setting.
--- Working knowledge of medical billing systems.
--- Working knowledge of coding practices.
--- Working knowledge of computers, internet access, and the
navigate within Microsoft Office Suite, or similar programs.
--- Demonstrated excellent verbal and written communication
--- Bachelor's Degree from an accredited college or university.
--- Bilingual (English/Spanish).
--- NextGen experience.
--- CPC/CPB designation.
--- Knowledge of medical software systems.
--- Knowledge of medical terminology.
Keywords: Articularis Healthcare, Summerville , Billing Specialist, Accounting, Auditing , Summerville, South Carolina
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