Medical Billing Denials Representative

Located in Moraine, OH / REMOTE AVAILABLE AFTER TRAINING Full-time or Part-Time Day Shift Position Summary: Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data entry, third party billing and follow up; review denials and resubmit claims; answer incoming as well as place outgoing calls to both patients and clients while maintaining positive internal and external working relationships with patients, clients and third party payers. Responsibilities: • Maintain organized workflow for efficient account processing and seamless task handover during absences. • Adhere to departmental processes, consulting supervisors when needed. • Demonstrate strong customer service skills to enhance department and organizational reputation. • Foster teamwork and meet or exceed work standards. • Possess working knowledge of compliance regulations and apply them effectively. • Follow company policies and maintain accurate statistical data. • Accurately perform order entry and resolve missing information. • Utilize translation tools for entering codes into billing systems. • Communicate effectively with internal and external stakeholders. • Apply payment details accurately and handle overpayments or refunds. • Review Explanation of Benefits from various payers. • Investigate un-adjudicated claims and resolve outstanding accounts. • Process Medicare denials and monitor payer rejections. • Handle fast-paced, high call volume environments with strong multitasking skills. • Focus on positive customer impact and utilize effective verbal and written communication. • Research collection accounts and correct system errors. • Perform additional duties and projects as assigned. Qualifications: • High school graduate or equivalent required. • Minimum of 1 year billing experience working denials. • Working knowledge of Medicare and other third-party claims processing, ICD-10 and HCPCS/CPT coding, and medical terminology highly desirable. Safety & Physical Demands: • Visual acuity and hand-finger dexterity for extended computer work. • Ability to sit at computer workstation for prolonged periods. • Sound reasoning ability and independent judgment. • Capacity to work within specified deadlines. • Excellent communication and interpersonal skills. • Ability to remain calm in stressful situations. • Adherence to safety, ergonomic and health policies • Compliance with PPE requirements in lab or biohazard areas • Completion of required safety training and health evaluations promptly. • Proactive approach to identifying and addressing safety hazards, promoting safety awareness. #IND123 Apply tot his job