Enrollment & Billing Manager jobs in Gary, IN

Job description

This position would be responsible for the full revenue cycle including intake, benefits investigation, prior authorization, coding, billing, accounts receivable, posting, patient financial assistance, and more.

Responsibilities

• Accurately post insurance payments from mail batches and electronic funds transfers (EFT) from various sources, including websites and ECW EFTs.
• Review and reconcile payment entries to ensure that all payments are accounted for and properly posted.
• Conduct thorough follow-ups on all outstanding insurance claims to ensure timely reimbursement.
• Investigate and appeal underpaid or denied claims by gathering necessary documentation and submitting detailed appeals to insurance companies.
• Handle mail batch rejections by reviewing the reason for rejection, correcting any issues, and resubmitting the claims.
• Track the status of appeals by monitoring the appeal bucket and performing regular follow-ups until the appeal is resolved.
• Assist with coding issues by reviewing and suggesting appropriate corrections to ensure accurate billing and compliance with medical coding standards.
• Respond to patient inquiries, providing clear explanations of benefits and answering insurance-related questions.
• Ensure timely and professional responses to emails and voicemails related to billing inquiries.

Qualifications (Preferred)

• Associate or bachelor's degree in finance, accounting, healthcare administration, or a related field is preferred.
• Certification in medical billing and coding is highly desirable.
• Minimum of 2 years of experience in medical billing, specifically in oncology or a physician practice specialty that included infusion services (rheum, neuro, gastro, immunology, etc).
• Proficiency with medical billing software
• Knowledge of medical terminology and CPT coding.
• Strong analytical skills and attention to detail.
• Excellent communication and customer service skills, with the ability to explain complex billing issues in understandable terms.
• Ability to manage multiple tasks and prioritize work to adhere to deadlines and patient service standards.

Healthcare setting:

• Clinic

Medical specialties:

• Oncology
• Rheumatology
• Gastroenterology
• Nephrology
• Neurology
• Ophthalmology

Job Types: Full-time, Part-time, Contract

Expected hours: 20 – 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Ability to Relocate:

• Dyer, IN: Relocate before starting work (Required)

Work Location: In person