Description:

　　Any interested candidates MUST have 3-5 years of complex medical billing and claims follow up experience as there will not be much formal training. Candidates are expected to jump in and be self sufficient from the start. General Summary: To provide thorough follow-up and/or re-billing of unresolved hospital (UB04) and possibly physician (1500) insurance claims. The project has claims from a variety of payer types including Medicare, Medicaid, Managed Care, Blue Cross Blue Shield, and Commercial insurance companies. Essential Job Functions: • Responsible for performing claim research and electronic claims follow-up work with multiple insurance companies either by electronic system or phone depending on insurer, to resolve accounts which have been billed but remain unresolved. o Reviewing notes on client systems to see what work has already been performed. o Determining next steps by either using electronic tools or calling the insurance company to determine claim status, depending on insurer. o If no claim is on file, it will need to be re-billed electronically through the client's systems. o If a claim is rejected, find out why and make a determination if it can be re-billed with proper information, if it should be patient responsibility, or if it is a timely filing issue. o If coding needs to be changed, submit to appropriate group for review. • Work specific payers/insurers and accounts as assigned by management. • Responsible for submitting accounts to be written off or changed to patient responsibility. • Responsible for claim denials and determining how to resolve the claim either by correction, re-billing, or if it was rejected authorization issues. • Maintaining a productivity of 25 accounts/day with a 90% quality rating. • Responsible for working from multiple computer systems simultaneously and learning them quickly. • Perform limited training and support to billing associates being moved to a new client or those simply needing assistance. • Receive ongoing training on different payer mixes, clients, and client systems. • Following all Federal and State guidelines concerning the proper handling of medical receivables. • All other duties as assigned by management.

　　Skills:

　　microsoft office, microsoft windows, claims processing, medical billing, medical terminology, customer service oriented

　　Top Skills Details:

　　microsoft office,microsoft windows,claims processing,medical billing,medical terminology,customer service oriented

　　Additional Skills & Qualifications:

　　Knowledge, Skills and Abilities: - Employee must be comfortable with the following: Microsoft Windows operating systems (Windows 7 and 10), Microsoft Office Productivity Suite (Word, Excel, and Outlook version 2016), learning and working with different payers.

　　Experience Level:

　　Intermediate Level

　　About TEKsystems:

　　We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

　　The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

　　We are an equal opportunity employers and will consider all applications without regard to race, genetic information, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. To view the EEO is the law poster click here. Applicants with disabilities that require an accommodation or assistance a position, please call 888-472-3411 or email [email protected]. This is a dedicated line designed exclusively to assist job seekers whose disability prevents them from being able to apply online. Messages left for other purposes will not receive a response.