Website Slingshot Connections

Job Title: Billing and Collections
Location: Monterey, CA

Key Responsibilities & Duties
● Research and resolve all types of denials efficiently and accurately, which
includes but not limited to coordination of benefits (COB), insurance eligibility,
coding (e.g., modifiers, diagnoses, CCI edits), billing (e.g., NPI, POS, DOS).
● Research and resolve insurance and patient credits timely and accurately.
● Follow insurance appeal standards or protocols, establish an appeal
correspondence to petition the denial as incorrect or inappropriate and for the
third-party carrier to reconsider and adjudicate the claim correctly. May inquire
with assigned coder for education or letter of appeal, if outside the scope of the
AR Specialist.
● Document all actions and communications taken regarding each
account/session/encounter in the designated fields in the practice management
system (PMS).
● Identify and track denial trends by payer, provider, and code.
● Identify billing-related issues and work with appropriate internal teams to resolve
the identified issue(s) in a timely manner.

● Must stay up to date with industry trends and changes that impact Accounts
Researching. This may include seminars, training, and reading material. It is the
employee’s responsibility to maintain one’s AR knowledge and learn specific
required areas, such as basic coding.
● Ensure secondary claims are filed with the appropriate primary insurance EOB
attachment in a timely and accurate manner.
● Answer customer service inquiries professionally, timely and efficiently. Make
certain the inquiry is completed, closed or followed up on until closure happens.
Document the guarantor/patient’s account in detail.
● Handle and expedite distinctive cases include bankruptcy, charity, statements,
tax billing document, refunds and other items, should be processed accurately
but expeditiously and follow-through. Follow the designated processes for these
distinctive cases.
● Collect outstanding balances must be done professionally and with tact. Posting
of payment done accurately, timely and according to protocol.

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