Position:  Medical Billing - Benefits & EOB Claims Specialist
Location:  Ann Arbor
Job Id:  104
# of Openings:  1

WRS offers an entrepreneurial, team-oriented, and sales-driven culture focused on enriching our patients lives. We are located in the heart of downtown Ann Arbor, offering a compelling salary and benefits package. As our medical billing team grows, we are looking to add a team member with a strong background in medical billing, explanation of benefits, and claim appeals.  The ideal candidate will possess strong knowledge in these areas along with the ability to multi-task and effectively communicate while staying organized.  The WRS culture is one of caring and collaboration, and our team members enjoy working in a fun, fast-paced and team oriented environment.  If this sounds like your ideal work environment, take a look at the job description below and apply today!

Benefits and EOB Claims Specialist:

Effectively communicate with payors regarding inquiries on patients billed claims.
Complete proactive and diligent follow up and collection on accounts receivable.
Identify inconsistent reimbursement and to negotiate repricing on claims.
Negotiate higher reimbursement rates with providers.
Investigate validity of overpayments.
Identify incorrect claims and dispute claims.
Provide all supporting documentation to insurance companies in order to appeal claims efficiently.
Properly document all communication and follow up that is necessary to collect reimbursement.
Post adjustments from EOB’s and appeal within 24 hours of remittance.
Appeal with insurance company if payments are not paid according to fee schedule or paid not according to contracted or negotiated rates.
Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation.

Required Skills:
Minimum 2 years’ experience in back end billing processes (Explanation of benefits and claim appeals)
Understanding of medical terminology
Experience in billing Workmen’s Compensation claims
Knowledge of diagnosis codes, ICD-10
Knowledge of CPT/HCPCS coding
Strong written and verbal skills
Efficiency in organization and multi-tasking
High School Diploma or GED equivalent
 
Work Location: Ann Arbor Corporate Office

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