Kforce

Medical Billing / AR 3

3+ months agoAtlanta, GA

Responsibilities

Kforce has a client in search of a Medical Billing/AR 3 I Atlanta, GA.Summary:The candidate will be responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.Job Responsibilities:

  • Obtain referrals and pre-authorizations as required for procedures
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up Research and appeal denied claims
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts
  • Set up patient payment plans and work collection accounts
  • Update billing software with rate changes
  • Updates cash spreadsheet, runs collection reports


Skills

  • High School diploma/GED
  • Knowledge of business and accounting processes usually obtained from an Associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred
  • 5 to 7 years of experience
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
  • Use of computer systems, software, 10 key calculator
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Able to work in a team environment
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • Knowledge of accounting and bookkeeping procedures
  • Knowledge of medical terminology likely to be encountered in medical claims
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Kforce is a professional staffing services firm offering Technology and Finance & Accounting jobs with top employers nationwide. We specialize in providing contract, contract-to-hire and direct placement opportunities, with over 50 years of experience in the staffing industry. Kforce offers many consultants comprehensive benefits depending on employment status, including medical, dental, 401(K), life insurance and disability. Our vision is to be "the firm most respected by those we serve."