We're looking for Athena Specialist who has worked on Athena Tool in AR follow up.
- Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid.
- Verifying correct insurance filing information on behalf of the client and patient
- Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems.
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
- Follow up on unpaid claims within the standard billing cycle time frame.
- Research and appeal denied claims.
- Meet individual and departmental standards with regard to quality and productivity.
- Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability (HIPAA).
- Check eligibility and benefit verification.
- Review patient bills for accuracy and completeness and obtain any missing information
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
- Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
Able to perform eligibility verification, precertification, through the web or verbally with insurance companies.
Calling insurance companies and obtaining claim status with different payers & documenting it in the system.
Should be able to read superbills and make charge entry in PMS.
Ability to post ERA (Electronica Remittance Advice) & EOB (Explanation of Benefits) from various systems and websites.
Credentialing knowledge would be an added advantage
Denial management should be known.
Job Type: Full-time
Location - Work from Office
Skills Required
- Experience with Athena tool (Athenahealth) for AR follow-up
- Knowledge of denial management and ability to research and appeal denied claims
- Ability to post ERA (Electronic Remittance Advice) and EOB (Explanation of Benefits)
- Experience with eligibility verification and precertification with insurance companies
- Ability to read superbills and perform charge entry in a Practice Management System (PMS)
- Knowledge of insurance guidelines including HMO/PPO, Medicare, and state Medicaid
- Ability to handle protected health information in a HIPAA-compliant manner
- Credentialing knowledge
What We Do
Optimizing Healthcare Organizations through Revenue & Cost Transformation Neolytix is a Management Service Organization (MSO) serving independent healthcare providers. Neolytix has been working with healthcare practices for the last 11 years and providing a helping hand for busy medical practitioners. Our services have helped increase monthly collections, create efficient processes for office administration, improved patient experience and free up physician time for providing better care. We provide shared services solutions for Medical Offices supporting Revenue Cycle Management, Credentialing, Virtual Assistants, IT Support, Practice Marketing with guaranteed impact on the overall bottom line. That means better service for a lower cost. #MedicalBilling #RPM #MSO #medicalbilling #remotepatientmonitoring #valuebasedcare #revenuecyclemanagement #Healthcareproviders #digitalhealth
