Enrollment & Billing Representative jobs in Stroudsburg, PA

Responsibilities

Under the direction of the Billing Office Manager, the Billing Representative is responsible for supporting the professional billing process in Grand View Medical Practices. The Billing Representative closely monitors all outstanding accounts receivable to ensure the timely and accurate processing of all claims for services rendered to our patients.  The Billing Representative has strong communication skills with providers, patients and payers.

Essential Functions:

• Possesses a thorough understanding of managed care contracts and their limitations.
• Acts as liaison between all insurance company representatives. Stays informed of third party regulations and requirements by reading all newsletters and periodicals published by different insurance companies.
• Maintains working knowledge of CPT and ICD10 codes.
• Responsible for the collection process which includes evaluating and reporting delinquent accounts directly to the collection agency as well as calling patient for overdue balances and sending collection letters.
• Makes deposits of all processed checks for the day. Responsible for checking to see if deposits from all the GVMP offices equal at the end of the month.
• Prints patient statements and submitting patient claims electronically or on paper as indicated.
• Locates EOB’s and receipts as well as medical charts.
• Keeps track of problems and resolve issues.
• Processes refunds and credits for patients and insurances.
• Processes capitation checks and reports.
• Maintains a full understanding of the different insurances and how they are billed.
• Understands and submits claims via web to MA.

Schedule:  Monday - Friday, 8:00 am - 4:30 pm, flexible hybrid work schedule.

Qualifications

Education and Experience:High School Diploma Required.

Minimum of 3 years professional medical billing Experience including:

• medical accounts receivables/resolution
• insurance claims adjudication
• working knowledge of CPT and ICD10 codes
• claims submissions
• payor portals

Benefits:• Medical, Free Dental, Vision Insurance for full time and part time• 403B• Pension Plan• On-site discounted Child Care Center• Tuition Reimbursement up to $5250 per year• Free Life Insurance• Free Parking• Paid Time Off• Sick Time• Flexible Spending Accounts• Employee Referral Bonus