MedVanta Interco, LLC. - Bethesda, MD

posted 10 days ago

Full-time
Bethesda, MD

About the position

The CBO Accounts Receivable Representative at MedVanta is responsible for managing complex accounts receivable functions within the Central Billing Office. This role involves investigating denied claims, managing claims across various aging buckets, and pursuing collections on delinquent accounts. The representative will also assist with medical billing duties and ensure accurate communication with insurance carriers, contributing to the overall efficiency of the billing process.

Responsibilities

  • Investigates and resolves denied claims.
  • Works and manages claims from all aging buckets, including posting, appeals, and ADRs.
  • Identifies and reviews delinquent accounts and pursues collection as needed.
  • Performs and documents follow-through efforts in a timely manner.
  • Coordinates medical record documentation to be submitted with appeals.
  • Communicates accurate patient and billing information to insurance carriers.
  • Prepares weekly status reports for review with management.
  • Assists with medical biller duties, including handling insurance claims, submitting claims to insurance, collecting, posting, and managing patient account payments, and preparing and reviewing patient statements.
  • Other duties as assigned.

Requirements

  • High School Diploma.
  • 2+ years of related experience, preferably in an orthopaedic setting.
  • Proficiency with Microsoft Office suite and electronic billing systems.
  • Extensive knowledge of insurance, benefits, medical terminology, and medical billing.
  • Experience working with billing and accounts receivable for both commercial and non-commercial payors.

Nice-to-haves

  • Experience in an orthopaedic setting.
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