Support the PHRS mission, vision, core values and customer service philosophy
Continuously interact with physicians, patients and insurance vendors to investigate outstanding claims and incomplete payments
Provide first level customer support for billing services which includes answering phones and researching patient account issues
Maintain proficiency and appropriate level of knowledge with all systems required for task completion
Responsible for completing patient billing and investigating daily denials by working with insurance vendors and adjusters to resolve problem accounts and re-file open claims
Accountable for outstanding customer service to all external and internal customers
Develop and maintain effective relationships through effective and timely communication
Take initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.

Minimum 2 years of experience in medical billing
High School diploma or equivalent is required
Associates Degree or higher in Medical Billing and Coding or a related field is preferred
Knowledge of government and managed care payment methodologies
Understanding of terms such as contractual adjustment, allowed amount, coinsurance, denial and denial processes
Experience in billing or health insurance claim processing preferred
CPT, ICD-9, and HCPCS coding knowledge preferred
Knowledge of business office procedures
Ability to operate a computer, copier or fax machine
Ability to sort and file materials correctly by alphabetic or numeric systems
Verbal and written communication skills
Knowledge of Microsoft Office Products
Experience in one or more billing software platforms is preferred
EPIC; Ideal; Allscripts; Centricity; Acumen-Epic; iSalus; Athena
Experience in one or more specialties is preferred – Nephrology; OB/GYN; Gastroenterology; Internal Medicine; Long Term Care.

Pinnacle Healthcare Consulting

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