Medical Biller

7 days ago


Melville, United States Nesco Resource Full time

A major client of ours in the Healthcare Industry has a need for Medical Billers (Insurance). The client is located in Melville, NY. This is a permanent position.


Pay up to $26 an hour.


Summary of Responsibilities:


Responsible for accurate and timely follow-up of outstanding claims, responding to inquiries and correspondence for assigned accounts in accordance with established procedures. Ensure that all external customers (patients/visitors/guests) receive personalized prompt attention. Strives to address external and internal customer needs and concerns. Handles telephone inquiries, resolving customer questions.


Essential Duties and Responsibilities:

  • Physician Billing experience.
  • Knowledge of Medicare/Medicaid Governmental Benefits & Regulations.
  • Strong knowledge of Medical Insurance Coverages.
  • Submit Primary/Secondary Insurance and follow-up on same.
  • Verifying accuracy of patient insurance and demographic information.
  • Perform follow up on all outstanding accounts assigned in accordance with established policies and procedures.
  • Place Out Bound Calls to Insurance for Status of Outstanding Claims.
  • Analyze Remittance/Explanation of Benefits.
  • Submit Appeals for Denials and/or Underpayments.
  • Determine Patient Responsibility.
  • Verify Insurance Coverage, Contact Guarantor Regarding Insurance Discrepancies.
  • Strong communication, documentation, follow up, analytical and computer skill sets.
  • Familiarity with the Epic System, preferred. Ability to accurately update patient accounts, update insurance information, initiate insurance billing.
  • Performs other job related duties, as required and assigned.


Qualifications:

  • High School Diploma or General Education Degree (GED).
  • Bilingual Preferred
  • 1--2 Years prior Physician Billing experience, including carrier follow up.
  • Knowledge of EPIC, preferred.
  • Knowledge of HIPAA.
  • Excellent written and oral communication skills.
  • Computer literate.
  • Ability to prioritize and multi-task with strong organizational and analytical skills.
  • Ability to work independently on assigned tasks and accept direction.
  • Participation in all educational activities, seminars and webinars.



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