MD EyeCare Services Corporate

Billing Clerk - Chicagoland Retinal Consultants

US-IL-Palos Heights
3 weeks ago
Job ID
2017-2078
# of Openings
1
Category
Chicagoland Retinal Consultants
Type
Regular Full-Time

Overview

Chicagoland Retinal Consultants is looking for an individual to be responsible for collecting, posting and managing account payments as well as submit claims and follow up with insurance companies.

 

Responsibilities

Chicagoland Retinal Medical Biller Job Description

 

  • Check eligibility and benefit verification
  • Obtain referrals and pre-authorizations as required for procedures
  • Responsible for the timely submission of professional medical claims to insurance companies
  • 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
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
  • 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
  • Post Insurance/Patient payments

Qualifications

Highschool Diploma

Experienced in coding/billing, preferred

 

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