Accounts Research Specialist - TMG Billing (Days)

Responsible for day to day follow-up of Medicare, Medicare Advantage plans, Medicaid, CMOs, and commercial insurance claims, and the review of aging reports to identify and resolve problem areas. Also includes the working of all rejections and denials accurately and efficiently. Necessary to prioritize work, formulate a plan of action, and analyze results, as well as communicate trends and billing coding issues.

Education

High School Diploma or GED

Experience

Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Qualifications

*Ability to meticulously organize, analyze, and prioritize workload, and perform responsibilities with integrity. Ability to communicate issues to CBO management and offer a resolution.

*Ability to work professionally and closely with others, and function as a team member.

*Exhibit exceptional communication skills verbally and in writing.

*Minimum of two years experience in insurance and patient billing, and AR, which includes credits, refunds, offsets, and posting payments.

*Possess a comprehension of working and analyzing AR to resolve claim denials timely, and keep AR days, and greater than 90-day AR categories below MGMA standards.

*Working knowledge of CPT & ICD Coding, and medical terminology required.