NextGen Billing Representative
Partner with the happiest clients and be responsible for all aspects of NextGen EPM medical billing, follow-up, and collection activity.
What's the opportunity?
A TempDev NextGen Billing Representative assists in medical billing on NextGen EPM. They may be involved in one or more capacities including customer service, coding, charge entry, payment posting, insurance follow-up, filing appeals, or credit balances.
What will I be doing?
Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites and filing appeals.
Effectively resolves complex or aged inventory, including payment research and payment recoups with minimal or no assistance necessary.
Identify issues or trending and provide suggestions for resolution.
Accurately and thoroughly documents the pertinent collection activity performed.
Review the account information and necessary system applications to determine the next appropriate work activity.
Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed.
Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.
Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
Participate and attend meetings, training seminars and in-services to develop job knowledge.
Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor.
Respond timely to emails and telephone messages as appropriate.
Identify and communicate issues to management, including payer, system or escalated account issues as well as assist in the development of solutions.
Assist with special projects assigned by management as needed.
Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team or team members that may be absent or backlogged.
What skills do I need?
Minimum of 3-5 years in NextGen EPM Medical Billing.
High school diploma or equivalent education.
Clear, concise communication skills.
Intermediate knowledge of CPT and ICD codes.
Advanced knowledge of insurance billing, collections and insurance terminology.
Advanced knowledge of claims and Explanation of Benefits (EOB) interpretation.
Intermediate technical skills with Microsoft Outlook & Excel experience.
Commitment to excellent customer service.
Work from home.
Peace of mind with health, vision, and dental insurance for you and your dependents.
Paid time off, holiday, and parental leave to let you spend valuable time with your loved ones.