Medical Billing Associate

Responsibilities Resolve all billing edits found in the assigned WQs. Respond to denials received on accounts as assigned. This may require a re‑billing of a claim after updating the correct information or it may require the initiation of a dispute or appeal to the payer. Collaborate professionally internally or with external departments when needed to resolve the edit or denial. Recognize payer trends among the claims that are editing for similar reasons. Communicate those trends to leaders within the department to determine if a systematic update is required. Identify payer trends within the denials and work with leaders to mitigate those denials where possible. Goal to minimize aging AR. Proper and detailed notation of actions taken on the account. Others will rely on those notes when taking the next step on the account follow up. Payer website navigation as needed to obtain information. Review, understand, and locate payer policy guidelines for billing or denial resolution. Proficient use of Epic, On Base, and other platforms as needed. Ability to work independently and under time constraints and deadlines and with minimal supervision. to prioritize workload in an effective manner. Meet daily/weekly productivity standards with acceptable QA results. Other duties as assigned. Requirements High School Diploma/G.E.D. - required Associate's Degree - preferred Prior office experience - preferred Ability to work independently and within a team Excellent verbal and written communication skills. Ability to communicate with internal peers and leadership Demonstrates an ability to learn and understand instruction Ability to effectively prioritize and execute tasks in a high-volume atmosphere. Microsoft Office and website knowledge CCS‑Certified Coding Specialist Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC) Upon Hire - preferred Equivalent combination of relevant education and experience may be substituted as appropriate. Hard Skills billing resolution denial management re‑billing dispute initiation payer policy guidelines aging accounts receivable (AR) management note‑taking prioritization productivity standards quality assurance (QA) Soft Skills independence time management team collaboration verbal communication written communication instruction comprehension task execution workload prioritization Certifications & Qualifications High School Diploma G.E.D. Associate's Degree CCS-Certified Coding Specialist Certified Inpatient Coder (CIC) Certified Outpatient Coder (COC) #J-18808-Ljbffr