Finance Accounting Specialist/Medical Biller
Current- Lead Medicaid Govt. Billing team of 5 with Claim submission, follow up/denials for Govt. contract plans (Medicaid, Medicare) along with Liability and LME health plans.
- Posting of payments/adjustments of claims, calculating deductibles.
- Reviewing Eob/Remit for accuracy of payments, calculating observations hours, Inpatient part b billing, itemized billing.
- Collaborating with departments within revenue cycle, IT, and Fin-thrive to identify trends in claim denials and develop strategies to minimize denials and increase reimbursements.
- Identifying opportunities to improve the accuracy of billing data by implementing quality control measures and conducting regular reviews of billing processes and documentation within guidelines.
- Contacting insurance payors for review of EOBs, claim denials, insurance verification, authorizations., payments and denial information regarding claim status.