SUMMARY OF POSITION:
The Payer Biller will communicate with auto carriers and Workers’ compensation carriers in an effort to collect payments on outstanding medical bills. Work with an assigned list of Network Providers collecting outstanding accounts receivable.
DUTIES AND RESPONSIBILITIES:
- Obtain and develop all information necessary to collect receivables and close claims
- Collect Primary Health insurance information
- Request documents from referring physicians and Network providers
- Request EOBs from carriers
- Other documentation as necessary
- Manage and prioritize work
- Utilize current Account Receivable and Collection reports in the organization’s Claims Management System
- Maintain acceptable inventory in system queues meeting corporate goals
- Follow up on open claims
- Continuously follow up with carriers and providers to resolve AR
- Follow up with attorneys for case status on outstanding accounts
- Prepare appeals
- Send appeals to arbitration department for review
- Send carrier appeals via mail, fax or email
- Build and maintain effective working relationships
- Communicate and collaborate with client payers, contracted network providers and arbitration attorneys.
- Develop relationships that produce results. Demonstrate your reliability by meeting deadlines and commitments to internal and external customers.
- Perform other related duties as assigned.
- Experience in a Customer or Patient billing is a plus.
- Bachelor’s degree or equivalent experience
- Excellent communication skills both orally and in writing
- Superior PC skills including Microsoft Word and Excel
- Ability to prioritize work and handle multiple projects simultaneously
- Demonstrated ability to work independently and as part of a team
- Knowledge in Workers’ compensation and Auto claims
- Inbound and outbound call center experience is a plus
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.