[Close] 

Billing Representative Denials (FT, 40 Hours)

We are looking for a Billing Rep, Denials (40 hours per week) in our Elmwood Park, NJ location.

Schedule: 8:30AM-5:00PM Monday-Friday

POSITION SUMMARY: 

Responsible for processing denied insurance claims

PRINCIPAL JOB DUTIES:

Duties may include but are not necessarily limited to the following:

  • Under general supervision, follows established company policies and procedures and applies acquired job skills.
  • Performs functions that require full knowledge of general aspects of the job.
  • Works on assignments that are semi-routine in nature, but recognizes the need for occasional deviation from accepted practice.
  • Contacts are typically with individuals within own department and occasionally with contacts outside own organization. Contacts involve obtaining or providing information or data requiring some explanation or interpretation.
  • Perform and provide assistance to the department personnel with more general support tasks that require a better understanding of functions, as directed by immediate supervisor.
  • Using government insurance carrier website to determine the cause of denial
  • Calling insurance companies to research the reason for a denial
  • Seeks for assistance with more complex denials from Leads and the manager
  • Resolves routine denial issues and resubmits the claims
  • Ensures the accuracy of insurance documentation by comparing patient information on a lab requisition and insurance carrier website
  • Special projects as assigned
  • Other duties as assigned.

EDUCATION:

HS degree

EXPERIENCE AND REQUIRED SKILLS:

  • 1-2 years of experience in medical billing from a hospital or doctor's office
  • Good computer skills, including internet search and Microsoft
  • Knowledge of ICD 10, CPT and HCPCS Knowledge of government reimbursement rules
  • Ability to excel in fast paced environment
  • Attention to detail
  • Ability to read and understand EOBs and denial codes
  • Electronic claim filing knowledge is preferred.
  • Efficient in Excel
BioReference Laboratories is an Equal Opportunity Employer.


Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.