Job description
Billing and Reimbursement Specialist
We are Currently Hiring!
Nashua Eye Associates is an Ophthalmology Practice located in Nashua New Hampshire. We are currently looking for an energetic billing and reimbursement specialist that is experienced in healthcare billing. This position is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Billing and Reimbursement specialists will coordinate, document, and communicate with health insurance representatives regarding proper insurance payments in accordance with policies and procedures, and current federal, state and local standards, guidelines, and regulations.
Your Responsibilities:
- Understands business implications of decisions.
- Reviewing of Explanation of Benefits.
- Responsible for reviewing and addressing incoming mail correspondence.
- Responsible for accurate billing and collecting of revenue for all financial classes including Commercial, Federal, and State insurance plans.
- Obtain and track claim status via phone and online portals.
- Maintains strict confidentiality of protected health information.
- Maintains HIPPA compliance.
- Compose and follow up on claims appeals
- Communicating with patients regarding insurance checks.
- Appropriately identify, address, submit or process adjustments, overpayments, and outstanding balances.
- Allocating coinsurance and deductible appropriately within the database.
- Performs other duties as requested by manager
Needed Qualifications:
- Strong attention to detail.
- Proven problem-solving skills.
- Outstanding verbal and written communication skills.
- Highly organized.
- Excellent time management.
- Ethical Conduct.
- Computer skills required. Proficient in Microsoft Office.
- Comfortable with extensive telephone interactions.
- Ability to see projects through to the end.
- 3+years’ experience in health care billing preferred
- Equivalent healthcare experience will be considered.
Nashua Eye Associates offers competitive pay and great benefits which include health insurance, vision, dental, life insurance, accident and cancer coverage, short term disability, 401(k), PTO, and discounts on glasses/contacts. Please visit https://www.nashuaeye.com to learn more about us!
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