Job Description

Pathways complies with all applicable federal, state, and local laws and provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ancestry, age, disability, pregnancy status, victim status, marital status, member of the armed services or covered veteran status, or any other status that is protected by applicable federal, state, and/or local laws. This policy includes, but is not limited to: recruitment, employment, promotion, demotion, transfer, termination, compensation, benefits, layoffs, training, and social and recreational programs.

Salary: $31,200

Requirements / Licensures: This position requires a high school diploma. Proficient use with Microsoft Office programs (Excel, Word, & Outlook) is required.

Duties/Responsibilities: 

• Billing Medicaid claims using computerized billing program and check billing logs for completion/errors
• Manage assigned workflows to include follow up on status claims, denials and appeals for timely receipt of payment
• Contact insurance companies regarding denied claims
• Send appeals to insurance companies with appropriate documentation
• Answer billing inquiries from patients, staff, and insurance companies and resolve complaints
• Correct and resubmit claims after confirming transmission errors with the payer

Experience or Skill Set Required: 

• Working knowledge of medical billing
• Excellent customer service skills
• Critical thinking on every aspect of claim submission
• Ability to compose effective appeals
• Ability to work independently and as a part of a team
• Ability to work in a fast paced, expanding organization
• Proficient with Microsoft Word, Excel, Billing software, 10-key, ICD-10 coding, and medical terminology
• Experience with HIPAA and compliance-sensitive environments
• Strong attention to detail, and ability to collaborate independently and within a team
• Position is located on-site, not a remote position. 

Job Tags

Full time, Local area,

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