Worker's Comp Billing Specialist - Full-time

We are hiring for Worker's Comp Billing Specialists to join one of the leading revenue cycle management companies.  The company has 3 openings for their Brecksville office.  They have worked with over 3,000 physicians and 700 locations in the past 30 years.

We offer:

• $15/hr
• Advancement opportunities
• Family oriented work environment
• Monday to Friday, 8 am to 5 pm
• On the job training

Responsibilities:

• Responsible for ensuring appropriate insurance verification.
• Contacts employers for appropriate insurance carrier information.
• Processes claims and billings to carriers
• Contacts carriers for payment resolution.
• Accesses each state’s worker’s comp website for employer verification.
• Adheres to Government Regulations, Insurance Contracts and legal matters pertaining to collections, lawsuits, third party liability, probate, etc., to maximize reimbursement.
• Processes rejections and denials to determine if the claim needs to be submitted for an appeal with the payer.
• Responsible for maintaining the integrity of all Patient and Insurance demographic information in the Billing Systems.
• Other duties as assigned.

Requirements:

• Bachelor’s Degree in Business Administration or a related field preferred; a minimum of an AA degree. Medical Coding Certification in lieu of a Bachelor’s degree acceptable.
• Knowledge of and experience in work comp and private health insurance processes pertaining to claiming and coding health services.
• Current knowledge of ICD-9-CM & CPT-5 diagnostic coding classification systems.
• Three years current experience and working knowledge in coding and billing functions of third party payer systems, including workman, and commercial insurance.
• Demonstrated awareness of, sensitivity to, and competence in dealing with cultural and socioeconomic diversity of client population.
• Strong problem-solving and analytical skills.
• Knowledge of HIPAA regulations
• Ability to read and interpret an EOB
• Ability to communicate effectively and professionally with customers and external contacts to the organization.
• Demonstrated PC skills, i.e. proficient with MS Office products including Word, Excel, and Outlook.
• Excellent organizational, planning, and prioritization skills.
• Demonstrated ability to handle multiple tasks simultaneously.
• Exceptional organizational skills required.
• Ability to meet designated deadlines is also a critical qualification

To apply submit resume to suhr12@yahoo.com or call Stacy at 440-887-8367