Patient Accounts Claims Submission Representative

Responsibilities include, but are not limited to, the following: Preparing claims for electronic claims submission through a clearinghouse or direct submission to the insurance payer; Preparing paper claims for submissions via mail; attaching medical records when necessary for claim processing; Retrieving correspondence received from the clearinghouse or insurance company via mail and resolving all rejected claims for resubmission; Updating the billing system with necessary corrections for claims submission; Troubleshooting claims submissions; Maintaining a daily log of all uploaded, sent, and rejected claims; Establishing and maintaining a professional relationship with the clearinghouse and all insurance Electronic Data Interchange (EDI) department personnel and co-workers; Working with the Insurance Specialists to ensure proper filing of claims; Operating, using, and maintaining office equipment as trained. Minimum education and professional requirements include, but are not limited to, the following: High school graduate or equivalent; Employee must be 18 years or older; Typing experience required; Knowledge of general insurance policies; Excellent written and verbal communication skills; Ability to prioritize, organize, and multitask in a timely manner; Proficiency in Microsoft Office (e.g., Excel, Word, and Outlook); Ability to use phone system; Ability to sit for long periods of time (up to eight hours at one time); At least three years of experience working in the health care field in a medical billing department preferred; Electronic claims submission experience; Certified Professional Coder (CPC) or Certified Professional Coder Apprentice (CPC-A) experience.