Job Description

Assists in monitoring billing related functions are performed in an efficient manner consistent with department policies and procedures.

Job Responsibility

• Resolve complex Workers' Compensation billing situations, denials, and payment discrepancies.
• Prepare and submit comprehensive appeals for denied or underpaid claims, including drafting compelling appeal letters.
• Strong understanding of revenue cycle processes, including denial management and follow-up.
• Conduct thorough follow-up on outstanding Workers' Compensation accounts receivable with payers, adjusters, and legal representatives.
• Manage high-volume work queues, prioritize tasks effectively, and consistently meet strict deadlines.
• Analyzes Workers' Compensation fee schedules and reimbursement payment terms, identifying discrepancies and ensuring accurate expected payments.
• Extensive knowledge of Workers' Compensation laws, rules, and regulations.
• Proficient understanding of CPT, ICD-10, and HCPCS coding, with an emphasis on Workers' Compensation coding requirements.
• Knowledge of Epic HB/PB strongly preferred.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Epic experience.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).