Responsible for correctly processing healthcare claims in order to obtain reimbursement from insurance companies, government healthcare program, and patients. Required Skills Customer Services: + Provides exceptional customer service. + Answering and referring inquiries within scope of business services. + Telephone: Answers telephone, processes call, and document appropriately. Returns all messages in a timely manner. + Maintains communication between medical providers, administrative staff, and/or patient/families. Business Services: + Assigns ICD-10, CPT, and HCPCS codes based on provider documentation. + Reviews charges entered by providers and communicates with providers possible claim issues. + Prepares and submits claim for insurance reimbursement. + Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim. + Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up. + Scans and uploads patient clinical documents into medical chart. + Ensures all provider services are accounted for and billed. + Handles billing complaints and discrepancies. + Assists patients with the collection of payments on outstanding balances. Environmental Services: + Contributes to the overall cleanliness and appearance of personal work space and department. + Monitors supply levels and requests when needed. + Maintains all equipment. Evaluates all equipment for damage or maintenance needs and reports when needed. Required Experience Minimum Education: High School diploma or G.E.D equivalent Work Experience: One year or more experience in a medical office working with insurance claims. Required License/ Certification/Registration: None Skills: + Communication Excellence + Knowledge and ability to work in accordance federal and state regulations + Ability to work tactfully and effectively with patients, family members, other employees and physicians. + Analytical abilities + Word Processing / Computer + Strong customer service + Multi-tasking + Time Management + Organization + Attention to Detail + Professionalism / Positive Attitude + Quality Focus + Adaptability