Description

　　Job Description:

　　Accurate and timely billing of HCFA 1500 claims

　　Understanding of CPT, ICD10, and HCPC coding

　　Outbound telephone calls to insurance companies for claims resolution

　　Follow existing billing/collection protocols for reimbursement

　　Documentation of files with appropriate information

　　Collaboration/coordination with Utilization Review

　　Cross-training in Utilization Review

　　Appeals for denied claims and front/back-end denials

　　Collection efforts through calls and carrier websites

　　Review accounts receivable for accurate reimbursement

　　Manage DME business aspects for insurance verification

　　Track incoming referrals and responses

　　Utilize Salesforce for day-to-day responsibilities

　　Manage high volume telephone calls for prior authorizations, appeals, and updates

　　Research information for referral submissions and updates

　　Full-time availability (8:00 am to 5:00 pm, M-F)

　　Adherence to HIPAA, Confidentiality, and Privacy laws

　　Other duties as assigned by Manager

　　Minimum Requirements/Qualifications:

　　2-5 years of healthcare billing and collections/financial experience

　　Certified medical coder

　　High School diploma or equivalent

　　Worker’s Compensation experience

　　DME experience preferred

　　Requirements Data Entry, Customer Service, Medical Collections

　　Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

　　Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

　　All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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