Physician Billing - Denial Poster

Associated Billing Services, Inc. is a newly expanded high-volume physician billing service. ABS provides billing services to over 200 physicians representing a wide range of specialties, such as, radiology, pathology, hospitalists, intensivists, gastroenterology, pediatric pulmonology, internal medicine, neurology, orthopedic surgery, general surgery and neuropsychology. ABS is seeking detail- oriented; computer literate individuals to work full time, Monday through Friday from 8:00 a.m.–4:30 p.m.

DENIAL POSTER
The Denial Poster processes all denials received on remits from payors, (private insurance carriers, Medicare, Medicaid, and AHCCCS).
The Denial Poster uses an automated system to identify accounts that need to be
re-submitted or appealed.
After identifying an account that needs to be re-submitted or appealed, the
Denials Poster will perform research to determine the reason for the denial by
pulling the patient account, reading the EOB, and reading reports and/or
medical records.
After determining the reason for the denial, the Denial Poster will decide the
correct responsive action and post the correct denial code to generate the
required paperwork.
The Denial Poster must process the required paperwork within one business day
from the identification of the account that needs to be re-submitted or
appealed.
REQUIREMENTS
REQUIRED SKILLS:
Prior work experience with data entry work requiring fast and accurate alpha
numeric computer data entry and 10-key operation; and performing multi-step,
detailed job tasks, retaining the information and making decisions or choices
using that information.
Ability to use a computer to access the Internet to verify patient information using
established links.
Professional telephone customer service presentation using basic telephone
customer service skills - greeting, response to customer, closing making
inquiries and verifying insurance information in compliance with all HIPAA/
confidentiality regulations.
Prior work experience with high volume of incoming and outgoing telephone
calls, providing telephone customer service to patients and insurance carriers.
Prior work experience with, and comprehension of, how to read an EOB and use
the EOB to verify whether the payment was correctly posted.
Telephone customer service experience responding to questions about an
insurance company “Explanation Of Benefits” (EOB); responding to billing
questions or requests for Information; and handling patient and insurance
account follow-up.
Prior work experience with, and comprehension of, payment application/payment
posting.
Prior work experience with, and comprehension of, how to read an EOB and how
to use the EOB to verify whether the payment was correctly posted.
Prior work experience selecting the form letter with the correct argument(s)
supporting the appeal and/or ability to construct complete and comprehensive
arguments in letter format to process the claim payment.
Prior work experience meeting short deadlines (one business day) to complete
the research necessary to identify the reason for the denial and to determine
the correct responsive action, post the correct denial code to generate the
required paperwork, and process the required paperwork.
Prior work experience promptly and correctly writing up a request to the
Refund/Adjustment team to correct an incorrectly posted payment, attaching
the EOB and the exploded print screen of payment and LOA.
Prior work experience with accounts receivable research and aging reports.
Prior work experience with the grievance process if payment is denied or is less
than the amount billed.

PREFERRED SKILLS:
Prior work experience with, and comprehension of, the offset process.
Prior work experience with, and comprehension of, how to write up a request to
the Refund/Adjustment team to correct an incorrectly posted payment,
attaching the EOB and the exploded print screen of payment and LOA.
Prior work experience with, and comprehension of, CPT-4 and ICD-9 coding as they apply to the Local Coverage Determinations (LCD) and the Correct Coding Initiative Guidelines (CCI).

A PLUS: CODING EXPERIENCE