Job description

Company: PractiSynergy is a full-service medical billing company providing services to medical facilities and a wide range of medical specialties. PractiSynergy has built our reputation on Collaboration, Excellence, and Integrity and will always act in a professional and legally compliant manner.

General Summary: PractiSynergy is seeking full-time position for a medical billing specialist. This position is responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers.

For this position hours are flexible Monday-Friday for eight (8) hours each day. Iowa residency required.

Responsibilities

• Research any claims with no-response from the payer to determine status of claim – notify team lead if explanation of benefits is not available from software or client.

• Determine if appropriate payment has been made by various entities; and/or work with patients and insurance companies, government entities (such as Centers for Medicare and Medicaid Services) to obtain correct payments; and/or appeal claim payments/denials.

• Perform denial management, research, obtain proper documentation to support resolution of over payment; resolving credit balances and to resolve outstanding accounts receivable by interacting with third-party entities via websites, telephone, or written inquiries.
• Supply additional information requested by the payer through the payer designated portal or preferred method.
• Inquire with adjusters and designated contacts the claim status of occupational medicine and workers compensation claims.
• Identify trends in denials/rejections – communicate trends with team lead and pursue claim resolution process with payer to correct claims and assure accurate claim processing in the future.

• Respond to routine patient billing inquiries and problems, handling follow-up questions from patients and providers resolving discrepancies or errors.

• Work through insurance accounts receivable utilizing reports to identify trends.

• Understand and utilize LCD policies and commercial payer billing guidelines to ensure claims are accurate prior to submission

• Be expected to maintain a high-level of accuracy to meet productivity and quality requirements.

Education: High School Diploma or equivalent

Work Experience:

• Three-years medical billing experience required

• Ability to analyze, identify and resolve issues causing payer payment delays
• Expertise with explanation of benefits (EOBs) and payer portals

• Knowledge of ICD-10, CPT, and HCPC codes.

• Able to work in a fast-paced, changing and high growth environment.

• Possesses the ability, to apply critical thinking skills, is organized and detail oriented.

Job Type: Full-time

Pay: $18.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical billing: 2 years (Required)

Work Location: Remote

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