Physician Billing - Refund/Adjuster 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.
REFUNDS AND ADJUSTMENT POSTER
The Refunds and Adjustment Poster: reviews credit balances and requests for
refunds and determines the appropriate action to be taken, in compliance with
policies and procedures; approves and posts adjustments requested by Mod
members, in compliance with policies and procedures; reviews offsets and
determines appropriate action, in compliance with policies and procedures; and
maintains performance statistics as required.
Routine tasks include review of EOB’s; review/audit of documents for accuracy
and keying of adjustments and offsets; maintenance of “status logs”; posting
of payments to patient accounts; review of all credit EOB’s, including
completion of adjustment(s) and transmittal letter(s); and performance of credit
account follow-up.
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 computer 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, 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.
PREFERRED:
Work experience performing the data entry to set up or edit the patient account,
and/or post charges to the patient account.
Experience with Microsoft Office Suite, including Excel.
Working knowledge of anatomy and physiology, and of medical terminology.
Working knowledge of ICD-9 and CPT-4 manuals to research/verify diagnosis
codes (ICD-9) and/or procedure codes (CPT-4).
Experience maintaining medical records of hospital and clinic patients in a
manner consistent with medical, administrative, ethical, legal, and regulatory
requirements of the health care system.
A PLUS:
Working knowledge of ICD-9 and CPT-4 manuals to research/verify diagnosis
codes (ICD-9) and/or procedure codes (CPT-4).
|