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Appeals Specialist-Athens, GA

Company: Express Employment Professionals
Location: Athens
Posted on: January 13, 2021

Job Description:

Appeals SpecialistAthens, GAMonday- Friday, 8:00am-5:00pmUp to $17/hr, DOEA business in Athens, GA is seeking a full time Appeals Specialist who has previous experience handling customer issues related to billing.Skills Required:* Knowledge of medical billing/collection practices* Knowledge of CPT and ICD-9/ICD-10 coding systems desirable* Knowledge of computer programs* Knowledge of business office procedures* Knowledge of basic medical coding and third-party operating procedures and practices* Ability to operate a computer and basic office equipment* Ability to operate a multi-line telephone system* Experience in answering a telephone in a pleasant and helpful manner* Ability to establish and maintain effective working relationships with patients, clients, employees, and the public* Properly uses time clock as required to track working hours* Updates voice mail and e-mail messages when absent from work* Responds to voice messages in a timely manner* Must be well organized and detail-orientedJob Requirements:DUTIES AND RESPONSIBILITIES:* Requires the ability to process responses from health insurance companies* Perform adjustments as appropriate* Ability to interpret EOBs (explanation of benefits) and perform actions based on EOB* Successfully resolve denied claims* Successfully resolve edits and rejected claims* Prepare and file appeals, when applicable* Obtain and provide medical records when requested by payors* Obtain and update patient demographic information accurately* Answers questions from patients, clerical staff and insurance companies* Identifies and resolves patient and client billing complaints* Follows and reports status of delinquent accounts* Reviews accounts for possible assignment and makes recommendations to the team lead or manager* Performs various pre-collection actions including contacting patients and clients by phone, correcting and resubmitting claims to third party payers* Participates in educational activities and attend staff meetings* Conducts self in accordance with employee manual* Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulationsTo apply, e-mail your resume to Chelsea.Looney@expresspros.com or call her at 706-548-0625, ext. 207.

Keywords: Express Employment Professionals, Athens , Appeals Specialist-Athens, GA, Other , Athens, Georgia

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