Job description

The Billing and Credentialing Specialist is responsible for maintaining active status for all providers, posting electronic and "paper" payments from third-party payers, government agency payers, and patients in a timely and accurate manner, and following up on billing tasks, inquiries, and documentation. This position will be approximately 20% Payment Posting, 50% Billing Follow Up, and 30% Credentialing.

Pay: $18-22hr

DUTIES & RESPONSIBILITIES

Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.

Maintain internal provider grid to ensure all information is accurate and logins are available.

Maintain accurate and up to date provider profiles on CAQH, PECOS, NPPES, and CMS databases.

Complete revalidation requests issued by government payers.

Complete credentialing, re-credentialing, and privileging applications to add providers to commercial payers, Medicare, and Medicaid.

Work closely with the Director of Revenue Cycle and billing staff to identify and resolve any denials, rejections or authorization issues.

Assist patients with billing inquiries, payments, and account discrepancies.

Process all incoming and outgoing billing mail, following up as needed.

Post payments, adjustments, and zero-pay EOBs in an accurate and timely manner.

Posts patient payments in an accurate and timely manner to the appropriate line-item charge.

Research and resolve "unapplied and/or unidentified" payments to ensure monies are properly distributed.

Enter and balance payments as assigned by category (Check, Credit Card and/or Electronic Payments) by batch to internal deposit records for the day.

Process end of day reports (internal deposit slips and clearing of financial queue).

Employee Safety: Safely performs all duties; follows required protective protocols to ensure personal safety as well the safety of others.

Must maintain compliance with ergonomic safety standards; be mindful of posture and regularly practice ergonomic stretches.

Employee Safety: Safely performs all duties; follows required protective protocols to ensure personal safety as well the safety of others.

Safety: Responsible for ensuring that all duties, responsibilities, and operations are performed with the utmost regard for the safety and health of all personnel involved, including themselves.

Other duties as assigned by Supervisor

Apex Dermatology & Skin Surgery Center offers a comprehensive benefits plan that includes Paid Time Off (PTO), Paid Holidays, Medical, Dental, Vision, Life Insurance, Short-Term Disability and 401(k). We also offer ID Theft protection coverage, Accidental insurance, Derm Discounts and Lifestyle Benefits such as discounts to sporting events, movies, theme parks, travel and more.

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