Mako Medical · 3 months ago
Accounts Receivable Billing Representative (Synergy)
Raleigh, NC
Full-time
Onsite
Mid Level
3+ years expMako Medical is a healthcare company looking for an Accounts Receivable Billing Representative to join their team. The role involves processing claims for payment, maximizing patient satisfaction, and ensuring timely payments through strong customer service and collaboration with other specialists.
BiotechnologyHealth CareMedical
Responsibilities
Work aged receivables utilizing A/R reports assigned by manager
Review and assess adjudicated claims for timely and proper payment of outstanding balances
Research, correct, and resubmit or reprocess unpaid claims as necessary
Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
Identify liability and guarantor hierarchy and transfer balances timely and appropriately
Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
Research and resolve denials and underpayments with insurance carriers
Verify all identified insurance carriers for eligibility and confirm carrier policy for referral and authorization requirements as needed for claims adjudication
Submit carrier appeals and reconsideration requests in a timely manner
Meet productivity goals/benchmarks as set and communicated by Team Lead
Maintain confidentiality of patient information
Work collaboratively with other Coding, Billing, Patient Success, and Payment Posting Specialists as needed
Qualification
Required
At least 2 years of Professional Billing experience within the healthcare industry
High school diploma or GED
Minimum of 3 years' billing experience in the healthcare industry
Prior medical billing experience
Knowledge of ICD-10, CPT, HCPCS coding and medical terminology required
Problem-solver/ Critical thinking skills/ Self-motivated
Ability to organize, prioritize and manage various work assignments in a timely fashion
Ability to remain professional and courteous with providers and insurance carries always
Preferred
Bachelor's degree
Word and Excel experience
Experience with Availity and/or Telcor
Company
Mako Medical
Mako Medical Laboratories, a proud member of The Health Alliance, is redefining how laboratories support patients and healthcare professionals.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Daniel Watkins
Co-Founder
Austin Fitzwater
Chief Technology Officer
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