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Title Customer Service Medical Billing
Target Location US-MD-Baltimore
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PROFESSIONAL SKILLSStrong organizational skills: able to effectively prioritize work daily, capacity to maintainCorporate compliance, excellent multi-tasking skills and the ability to follow up on openItems in a timely manner.Strong computer skills, including expertise in database management; advanced proficiencyin Salesforce, MS Office applications such as Microsoft Office and Excel.Strong interpersonal and writing skills to communicate both verbally and in writing withwith patients, providers and management.Excellent interpersonal and communication skills by positively interacting with personnel,patients, providers and insurance carriers in all settings.Team Building: Extremely skilled at adapting to projects and resolving issues independently.Proficient in Nextgen, Medical Manager, Citrix and Optum.EXPERIENCE:2007-Present - Medical Billing Representative II, NextGen Healthcare, Hunt Valley, MD2005-2007 - Charge Entry Specialist, NextGen Healthcare, Hunt Valley, MD2002-2005 - Medical Billing Rep I and Customer Service Billing Rep II, Practice Management Partners, Inc. Owings Mills, MDJOB RESPONSIBILITIES:Audit upon review of accounts to determine status and appropriate action required fromworkflow generated from practice management system. Document accounts according to SOPs and CMS guidelines.Research and follow-up on denials and requests for additional information utilizing denial.management reports and correspondence along with writing appeals to insurancecompanies.Resolve transferred requests from the Customer Service Team to resolve complex issues.Navigate facility correspondence websites, phone to contact payers regarding reimbursement for unpaid accounts.Collaborate with management to identify payer trends and non-payment issues.Identify, verify, and document account adjustments according to established policy andProcedures.Ensure service level and productivity are met as it relates to reimbursement of accounts, resolution of tasks and response to inquiries.Maintain positive working relationships and partner with internal and external customers by providing superior customer service.Communicate with payers about re-filing claims that were underpaid plan/provider errors.Comprehensive understanding of EOBs to ensure payment accuracy and compliance.EDUCATION:Edmondson HSRepresentative II,AR Management

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