The Medical Insurance Billing Representative will
be responsible for processing insurance claims and expediting billing
and payment for insurance accounts. Match attachments and bill group
and individual insurance claims accurately and in a timely manner.
Review assigned electronic claim submission reports. Resolve and resubmit
rejected claims as necessary. Follow up and collect on outstanding
insurance claims. Research and resolve accounts in assigned queues.
Process daily and other special reports, unlisted invoices, unlisted
letters, error logs, stalled reports and agings. Document bankruptcy
claims in Accounts Receivable Billing System and process bankruptcy
write offs on appropriate accounts. File creditor’s claims against
deceased estates with county courts for reimbursement. Perform outgoing
calls to patients and insurance companies to obtain necessary information
for accurate billing. Answer incoming calls from insurance companies
requesting additional information and/or checking status of billings.
Adhere to all company policies and procedures. Must be able to pass
Quality Assurance audit. Effective information systems security is
a team effort involving the participation and support of every AMR
employee who deals with information and/or information systems. Other
duties as assigned.
Job Requirements
Minimum qualifications: High school diploma or GED.
Minimum one year prior office work experience. General working knowledge
of PCs and/or patient accounting computer systems. Must type minimum
45 wpm and pass pre-hire and department specific testing. Effective
oral, written and interpersonal communication skills. Able to perform
duties within tight time constraints and handle large volumes of work
with quality and accuracy. Able to work cooperatively in a team atmosphere.
Knowledge of Medicare, Medi-Cal and other private insurance billing
guidelines and/or prior medical billing experience preferred.
