About this role
Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full-time employees and we are always accepting applications from qualified candidates.
Duties & Responsibilities:
- Reviewing and addressing occupational health claims to ensure proper payments are received according to the payers' contract
- Reviewing unprocessed claims within the payers' timely filing limits for resubmission of claims for payment
- Researching Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patient accounts
- Researching Eligibility of Benefits (EOB) to determine if unpaid balances need to be appealed to the appropriate Worker's Compensation Committee
- Researching denied claims or claims with no response to determine proper follow up steps be take to obtain payment
- Correcting registrations on Worker's Compensation accounts and refiling claims
- Addressing account inquiries and/or update requests in a timely manner
- Establishing and maintaining a working relationship with payer representatives to ensure proper claim filing and reimbursement
- Effectively communicate trends or issues to the appropriate staff
- Maintains confidentiality in regards to patient account status and the financial affairs of the clinic/corporation
- Regular and reliable attendance
- Presents to work on time as scheduled
- Perform other duties as assigned by supervisor
- Posting occupational health and worker's compensation payments
- Answer client inquiries via phone and email daily
Qualifications:
- High school graduate or equivalent
- Minimum of 1-year previous medical experience required
Supervisory Responsibilities:
None
Other facts
About Bayview Physicians Group
Bayview Physicians Group is a premier, multi-specialty, independent physicians group, serving neighborhoods in the Hampton Roads area, including Chesapeake, Norfolk, Suffolk, and Virginia Beach. Bayview offers quality medical services with over 300 providers in 75 outpatient care sites, 6 Urgent Care Centers and 5 hospitals. We are proud to offer convenient locations for regular doctor appointments, after hours Urgent Care services and, when needed, inpatient hospitalist services.
Over the past 30+ years, our group has expanded to provide expert treatment in Family Medicine, Internal Medicine, Urgent Care and specialties including Cardiology, Dermatology, Ear, Nose & Throat, Endocrinology, General Surgery, Hospital Care, Gastroenterology, OB/GYN, Occupational Medicine, Podiatry, Pulmonary & Critical Care, Rheumatology, and Sleep Medicine. Our team is comprised of many of the finest physicians and medical staff in the area.
Bayview has also assembled a top-notch team of physicians dedicated to caring for hospitalized patients. Hospitalists bridge the gap between inpatient and outpatient care and provide consistent and attentive care when the need for hospitalization arises. Our team of hospital physicians provides in-patient services at Chesapeake Regional Medical Center, Sentara Leigh Hospital, Sentara Obici Hospital, Sentara Princess Anne Hospital, and Sentara Virginia Beach General Hospital.
In order to help our patients navigate a myriad of healthcare options, Bayview offers the convenience of electronic medical records and our offices are equipped with state of the art technology. We offer lab services at all locations and x-ray services at select locations, including all of our Urgent Care centers.
Please explore our website to find an office convenient to your home or work.
What you'll do
- The Occupational Health Biller is responsible for reviewing and addressing occupational health claims to ensure proper payments are received. This includes researching eligibility of benefits, correcting registrations, and maintaining relationships with payer representatives.
Ready to join Bayview Physicians Group?
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