Workers’ Compensation and Motor Vehicle Medical Billing Analyst
Job Description The Workers’ Compensation and Motor Vehicle Accounts Receivable (A/R) Biller is responsible for the accurate and timely billing, follow-up, and collection of claims related to workers’ compensation and motor vehicle cases across both ambulatory surgery centers (ASCs) and physician practice service lines. This role ensures proper coordination with internal teams and external stakeholders to maximize reimbursement, reduce denials, and support overall revenue cycle performance.
Responsibilities:
· Coordinate with Operations and Revenue Cycle Management for Precision’s ASC and physician practice service lines to ensure accurate billing of claims, prevent denials and maximize reimbursement
· Work closely with insurance companies, credentialing, and other internal and external stakeholders
· Actively work denials and rejections by investigating issues, obtaining missing documentation, and appealing claims as necessary in accordance with regulatory guidelines and payer requirements.
· Review claims for accuracy and completeness and obtain any missing information (claim scrubbing). Work the rejected claims in coordination with the Revenue Cycle team using compliant and ethical business practices
· Communicate with insurance carriers, third-party administrators (TPAs), attorneys, credentialing staff, and other relevant external and internal stakeholders to resolve claim issues and expedite processing
· Communicate specific problems or areas of concern with individual claims and/or billing processes to management
· Maintain comprehensive and up-to-date billing records, ensuring compliance with federal, state, and payer-specific guidelines.
· Provide direct administrative assistance to the Finance team
· Participate in audits, training sessions, and departmental meetings to stay updated on billing policies, payer requirements, and regulatory changes
· Adhere to company-wide policy and procedures
· Other duties will be assigned
Requirements:
· 1-3 years’ related experience required
· Strong knowledge of ICD and HCPCS/CPT coding with experience in a physician practice and/or ambulatory surgery center setting preferred
· Meticulous attention to detail with the ability to multi-task.
· Strong organizational, administrative, and planning skills.
· Ability to use discretion while working with sensitive information.
· Excellent documentation, communication, and IT skills.
· Associates degree preferred., high school diploma or equivalent required
Physical Requirements:
· Prolonged periods of sitting at a desk and working on a computer.