Texas major cities: Dallas, Houston, Austin and Corpus

· The Billing & Follow-Up Representative reviews, research, and processes claims in accordance for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies.

· The Billing & Follow-Up Representative communicates with third-party representatives as necessary to complete claims processing and /or resolve problem claims.

· Billing and Follow – Up Representative must Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts that are greater than 30 days old.

· Billing & Follow – Up core responsibility will include coding and processing claim encounters, reviewing claims for complete information, accessing information and translating data into information acceptable to the claims system.

· Works minimum standard number of accounts per payer per day.

· Meets or exceeds collection goals by payer each month.

· Maintains confidentiality adheres to all HIPAA guidelines/regulations.

· Other duties as assigned from time to time.

Minimum Qualifications

· HS diploma or General Education Degree

· Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is strongly preferred.

• Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-9, CPT, HCPCS), and basic computer skills are highly desirable.

· Basic Knowledge of third party insurance plans

· Familiarity with medical terminology helpful.

Skills

· Must be able to communicate effectively when in contact with insurance carriers, third party payers and patients.

· Must be able to learn and understand patient accounting policies and procedures and how the Accounts Receivable computer system works.

· Must be able to use a computer, calculator, fax machine. Copier and other office tools efficiently to meet performance goals.

· Intermediate knowledge of Microsoft Word and Excel: and the ability to learn new programs and systems.

· Dependable in both production and attendance.

· This is for Part and Full time positions

Supervision Received

· General Supervision, functioning independently, referring unusual problems to supervisor.