Infinx · 3 hours ago
RCM Billing Specialist
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Responsibilities
Research and re-bill unpaid claims.
Bill hospital and professional claims.
Responsible for verifying insurance benefits or payment source on all patients.
Responsible for set up of patient financial files.
Responsible for accurate computer data input on all patients, notes, and claims.
Generates invoices for insurance billing, individual account billing, and follow-up billing for deductibles and copays.
Research denied or pending claims and provides additional information to facilitate claim payment.
Negotiates with the responsible party on accounts more than sixty days past due. When unable to secure an agreement satisfactory to both parties, submit these accounts to the Client Services Manager for review prior to turning to private collection.
Responsible for collection of patient information and verification of reimbursement source. Maintains patient financial files. Generates billing invoices and is responsible for collections.
Required to always maintain confidentiality.
Research and resolve accounts appearing in Follow-up Reports.
Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked.
Correct all errors on electronic error reports using all the available information.
Meet production and quality standards.
Assists in identifying current and/or potential billing issues
Participates in daily production assignments that will continue to develop an understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix.
Ability to take patient phone calls and assist Customer Service when business needs arise.
Qualification
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Required
Understanding of medical billing rules.
Knowledge of Microsoft Office Suite software.
Minimum of 3 years required with medical billing in a hospital setting.
Have proven experience with hospital inpatient/outpatient billing knowledge.
Be able to function independently to bill hospital and professional claims.
Be able to function independently to complete thorough follow-up on hospital AR.
Be able to function independently to complete thorough processes for proper denial management.
Gain exposure to our proprietary tools and technology.
Benefits
401k with company match
Progressive PTO policy with paid holidays
Company
Infinx
Infinx provides business processing outsourcing services for the healthcare industry.
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Kohlberg Kravis Roberts
2024-05-21Private Equity· Undisclosed
Recent News
Business Standard India
2024-11-10
2024-11-10
2024-05-24
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