Medical Billing Representative

Madison, Wisconsin
Administrative & Support Services (Office and Administrative Support Occupations)
Job Type
Temp to Perm
Working Hours
8:00 AM - 5:00 PM
US$ 17.00 - US$ 20.00 per hour
Ref. Number
Shedosky, Alicen, Spherion
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Job Description

Become a Medical Billing Representative for some of the most skilled, compassionate and respected physicians in Madison! Our client is Dane County's longest-serving independent, multi-specialty health care provider, and they are hiring! The Medical Billing Representative will be responsible for performing all billing and follow-up functions, including investigation of payment delays resulting from no response, denied, rejected, and/or pending claims with the objective of maximizing reimbursement and ensuring that claims are paid in a timely manner.

- Responds to patient and third-party inquiries regarding accounts, insurance changes, billing procedures, etc. in person or over the phone. Takes messages as necessary.
- Resolves billing errors/edits and ensure all claims are accurately transmitted in a timely manner.
- Collects, enters, updates, and/or corrects patient demographic and insurance information as necessary. Verifies active insurance coverage, evaluates and researches any associated coordination of benefits and/or retro adjudication.
- Checks databases and other sources to verify patient insurance coverage. Updates patient account with insurance information including effective dates, enters patient flags and memos, as appropriate and updates any existing charges affected.
- Investigates denials and completes applicable forms (e.g. appeal requests or prior authorizations, patient self-reporting claim form); writes letters and/or appeals; and provides copies of records, Explanations Of Benefits, or other information to patients or insurance carriers to resolve claims or outstanding balances as needed.
- Reviews and monitors outstanding insurance balances in a timely manner. Contacts insurance companies regarding status of payments. Monitors coordination of benefits. Resubmits claims as necessary. Researches and requests refunds as appropriate.
- Assists clinic staff in resolving issues related to self-pay, past-due and collection accounts. Contacts patients to explain account balances, including insurance benefits, deductibles, co-pays, etc. May send payment reminder letters. Monitors accounts for payments. Reviews medical records to clarify information and answer questions.
- Processes patient credit card payments.
- May assist with posting charges and/or payments; and processing receipts, charges and refunds.
- Answers telephone in a pleasant and professional manner.
-Performs other duties as assigned.

Working hours: 8:00 AM - 5:00 PM

- Ability to interact with both government and commercial insurances
- Ability to make sound decisions regarding complex claims processing workflows
- Ability to maintain effective working relationships with providers, staff, patients, other healthcare facilities, service providers, and general public
- Ability to perform multiple tasks in a fast-paced environment; and ability to maintain patient confidentiality.

High School

1-4 years

- High School Diploma or Equivalent
- 2 years medical insurance billing
- Prior customer service experience
- Must have a working knowledge of spreadsheets and databases
Highly Preferred:
- Previous experience in medical business office setting; knowledge of billing procedures, medical terminology, and CPT/ICD coding;
- Cash handling experience
- Prior experience with Epic.

Apply Today!

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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