Job description
Education/Experience:
- High School Diploma
- Two years experience in healthcare billing.
Skills:
- Demonstrates excellent customer service
- Ability to convey empathy
- Strong problem solving, problem prevention and decision making skills
- Ability to manage and prioritize multiple tasks in fast paced environment
- Excellent oral and written communication skills
- Ability to maintain composure and restore calm in a stressful situation
- Uses good judgment and diplomacy when dealing with others
- Desire and ability to work in a team environment
- Computer proficient with ability to learn multiple software applications
- Ability to work with minimal supervision
Essential Functions:
- Help develop and maintain a corporate culture that supports the mission and values of Mayfield Clinic
- Submits electronic and hard copy claims in an accurate and timely manner.
- Makes all necessary corrections to claims that do not pass the billing edits and payer requirements.
- Contacts payers regarding unpaid claims. Researches and/or ensures that questions and requests for information are addressed in a timely and professional manner to ensure resolution and reimbursement.
- Ensures timely, effective, and thorough management of claims to ensure full, expected reimbursement for services provided.
- Maintains documentation and updates practice management system for appropriate claims submission and other pertinent information to identify action taken.
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